Sartorius Flap for Anterior Knee Wounds and Augmentation of Quadriceps Tendon Dysfunction

Description

In this presentation by Dr. Janet Conway, the sartorius muscle is discussed as a useful pedicled muscle flap in surgical procedures aimed at addressing quadriceps mechanism dysfunction, particularly in cases of chronic quadriceps tears or total knee arthroplasty. Dr. Conway emphasizes the importance of careful dissection of the sartorius, avoiding complications such as wound necrosis by preserving blood supply while ligating branches of the muscle. She outlines techniques for optimizing the effectiveness of the sartorius flap, including maintaining blood flow to the surrounding tissue and ensuring proper muscle excursion for extensor mechanism reconstruction. The procedure includes meticulous dissection to free the sartorius from the pes tendon and to manage small blood vessels safely. Dr. Conway also shares insights on how to effectively tunnel the sartorius for better mechanical advantage during reconstruction while advising postoperative care to mitigate potential donor site complications.

Specialties