2025, Vol. 7, Issue 2, Part F
Gastrocnemius muscle flap - its versatility in the coverage of megaprosthesis of knee joint
Author(s): Surepally Arpitha, Sasikanth Maddu and Sanjeev Sasmith B
Abstract: Background: The gastrocnemius muscle flap is widely used for reconstruction of soft tissue defects around the knee and upper one third of the leg. In this study, the gastrocnemius flap and its application for the coverage of mega prosthesis around the knee joint is being studied. This study aims to evaluate the clinical and functional outcomes of reconstruction with gastrocnemius muscle flap for coverage of knee mega prosthesis.
Methods: This study was conducted from June 2024 to June 2025 on 7 patients treated with gastrocnemius muscle flap for coverage of mega prosthesis around the knee joint. Medial head was used in 5 patients and lateral head was used in 2 patients. The outcomes of the procedure including postoperative complications like wound infection, skin necrosis and functional outcomes were evaluated.
Results: The patients ages ranged from 15 to 40 years. All cases achieved complete flap survival (100%) with wound healing within 14-21 days. No postoperative wound infection or donor site morbidity was observed. Functionally, all patients regained a near-normal range of motion at the knee and ankle. Most patients resumed normal ambulation and daily activities within 2-3 months. Cosmetic outcomes were satisfactory.
Conclusion: The gastrocnemius muscle flap remains a reliable and versatile option for soft tissue coverage around the knee for the coverage of mega prosthesis. This study highlights its advantages of minimal donor site morbidity, excellent flap survival, and favorable functional outcomes.
DOI: 10.22271/27081494.2025.v7.i2f.241Pages: 361-364 | Views: 161 | Downloads: 82Download Full Article: Click Here
How to cite this article:
Surepally Arpitha, Sasikanth Maddu, Sanjeev Sasmith B.
Gastrocnemius muscle flap - its versatility in the coverage of megaprosthesis of knee joint. Int J Case Rep Surg 2025;7(2):361-364. DOI:
10.22271/27081494.2025.v7.i2f.241
