|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 19-68. To save the knee joint, latissimus transplant was used to resurface the degloved soft tissue over the joint anastomosing the muscle vessels and motor nerve to the popliteal vessels and peroneal nerve. Muscle is being draped over amputation stump.
A 42-year-old man suffered a popliteal injury and tibial plateau fracture when he fell off a bicycle.
FIG. 19-74. The postoperative course was complicated by vessel thrombosis, compartment syndrome, and muscle necrosis requiring fasciotomies and extensive muscle debridement of all three compartments.
The latissimus dorsi and gracilis muscles were used in sequence to cover a chronic compound comminuted plated fracture with circumferential loss of skin from the knee to the ankle. The patient has also suffered amputation of the opposite leg.
FIG. 19-79. Medial view of the wound with the central two-thirds of the tibia exposed.
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