Patellar tendon reconstruction using an extended gastrocnemius flap following cryogenic injury to the knee.

Kim, Raymond H; Randolph, Amanda H; Tirre, Conrad J; Morrey, Matthew; Jennings, Jason M · Knee · 2017

case_report · Level V

Where this comes from

Abstract

Cryogenic thermal necrosis after knee surgery is rare. We describe a patient who presented with an anterior knee soft tissue defect in conjunction with an extensor mechanism deficiency secondary to a cold thermal injury after an anterior cruciate ligament reconstruction. We treated the patient with a single stage surgical procedure combining patellar tendon reconstruction and soft tissue coverage utilizing the superficial portion of the patient's vascularized Achilles tendon attached to a medial gastrocnemius flap. The patient returned to unrestricted activities and has demonstrated this through a five year follow-up.

Medical subject headings

Anatomy