Retrograde Sartorius Muscle Transposition in Popliteal Fossa Infection

Abstract

Regional rotation muscle flaps have often been proposed with good results for the conservative in situ management of graft infections. In this report, we present a case of recurrent posttraumatic venous graft infection in the popliteal fossa, treated with retrograde sartorius muscle flap transposition. This particular surgical technique offers new scope for management of severe graft infections in this area, where, for technical and anatomic reasons, other proposed muscle flaps are not available.

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References

1. Kitka M , Goodson S , Bishara RA , et al: Mortality and limb loss associated with infected infrainguinal bypass grafts. J Vasc Surg 5:566-574, 1987.

2. Cherry KJ Jr , Roland CF , Pairolero PC , et al: Infected femorodistal bypass: Is graft removal mandatory? J Vasc Surg 15:295-305, 1992.

3. Francois F , Thevenet A : Conservative treatment of prosthetic aortic graft infection with irrigation. Ann Vasc Surg 5:199-201, 1991.

4. Gordon A , Conlon C , Collin J , et al: An eight-year experience of conservative management for aortic graft sepsis. Eur J Vasc Surg 8:611-616, 1994.

5. Mixter RC , Turnipseed WD , Smith DJ Jr , et al: Rotation muscle flaps: A new technique for covering infected vascular grafts. J Vasc Surg 9:472-478, 1989.

6. Perler BA , Vander Kolk CA , Dufresne CR , Williams GM : Can infected prosthesis grafts be salvaged with rotational muscle flaps? Surgery 110:30-34, 1991.

7. Perler BA , Vander Kolk CA , Manson PM , Williams GM : Rotation muscle flaps to treat localized prosthetic graft infection: Long-term follow-up. 18:358-365, 1993.

8. Calligaro KD , Veith FJ , Dougherty MJ , et al: Comparison of muscle flaps and delayed secondary intention wound healing for infected lower extremity arterial grafts. Ann Vasc Surg 8:31-37, 1994.

9. Fernandez MAM , Quast DC , Geis RC , Henly WS : Distally based sartorius muscle flap in the treatment of infected femoral arterial prostheses. J Cardiovasc Surg 21:628-631, 1980.

10.

10. Leguit P , van Berge Henegouwen DP : The sartorius muscle transposition in the treatment of deep wound infection after vascular surgery in the groin. Vasa 12:151-154, 1983.

11.

11. Scher KS : Sartorius transposition to protect vascular grafts in the groin. Am Surg 55:158-161, 1989.

12.

12. Ger R : Muscle transposition for treatment of chronic posttraumatic osteomyelitis of the tibia. J Bone Joint Surg [Am] 59:784-791, 1977.

13.

13. Lesavoy MA , Dubrow TJ , Wackym PA , Eckardt JJ : Muscle flap coverage of exposed endoprostheses. Plast Reconstr Surg 83:90-96, 1989.

14.

14. Arnold PG , Pairolero PC : Intrathoracic muscle flaps: A 10-year experience in the management of lifethreatening infections. Plast Reconstr Surg 84:92-98, 1989.

15.

15. Gross EA , Culliford AT , Krieger KH , et al: A survey of 77 major infectious complications of median stemotomy: A review of 7949 consecutive operative procedures. Ann Thorac Surg 40:214-223, 1985.

16.

16. Caselli JS , Crawford ES , Williams TW Jr : Treatment of postoperative infection of ascending aorta and transverse aortic arch, including use of viable omentum and muscle flaps. Ann Thorac Surg 50:868-881, 1990.

17.

17. Watkins RM , Thomas JM : The role of greater omentum in reconstructing skin and soft tissue defects of the groin and axilla. Br J Surg 72:925-926, 1985.

18.

18. Foo ITH , Ward CM : Salvage of an exposed arterial prosthesis by tissue expansion. Br J Surg 76:1320-1321, 1989.

19.

19. Brooks SG , Leveson SH , Sharpe DT : The use of a latissimus dorsi myocutaneous flap to cover an axillobifemoral vascular prosthetic graft. Eur J Vasc Surg 3:367-368, 1989.

20.

20. Reed JB , McLean NR , Jones NAG : Successful salvage of an exposed axillopopliteal prosthetic graft using three muscle flaps in sequence. Eur J Vasc Surg 7:753-755, 1993.

21.

21. Horch R , Stark GB : Prosthetic vascular graft infection-defect covering with delayed vertical rectus abdominis muscular flap (VRAM) and rectus femoris flap. Vasa 23:52-56, 1994.

22.

22. Gomes MN , Spear SL : Pedicled muscle flaps in the management of infected aortofemoral grafts. Cardiovasc Surg 2:70-77, 1994.

23.

23. Chang N , Mathes SJ : Comparison of the effect of bacterial inoculation in musculocutaneous and randompattern flaps. Plast Reconstr Surg 70:1-10, 1982.

24.

24. Mehran RJ , Graham AM , Ricci MA , Symes JF : Evaluation of muscle flaps in the treatment of infected aortic grafts. J Vasc Surg 15:487-494, 1992.