Abstract：
OBJECTIVE: High-energy injuries to the knee may lead to extensive soft tissue loss, fractures, and potential loss of extensor function. The gastrocnemius flap is a prominent reconstructive option for patients with injuries involving the knee and proximal third of the lower extremity. To the best of our knowledge, there has not been an informative review that has evaluated outcomes of patients who have undergone post-traumatic knee reconstruction with a pedicled medial or lateral gastrocnemius flap. The goal of this study is to assess outcomes in patients who have undergone gastrocnemius flap reconstruction after traumatic injuries to the knee.
METHODS: The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology. Four databases were utilized including PubMed, Cochrane Reviews, Embase, and CINAHL. Our search criteria consisted of the following keywords: gastrocnemius, flap, knee, and traum*.
RESULTS: A total of 204 studies were imported for screening, from which five papers met our final inclusion/exclusion criteria. The most common studies utilized in this review were case series followed by retrospective chart reviews. In total, 43 patients with traumatic soft tissue knee defects were included with an average patient age of 27.28 years. All patients had successful and clinical viable flaps post-operatively, and there were a total of five patients who had complications.
CONCLUSIONS: The gastrocnemius flap has demonstrated to be an effective option for individuals undergoing post-traumatic knee reconstruction. Infection rates, loss of mobility, and scarring represent a minority of complications that may be seen when this reconstructive technique is utilized. Still, additional randomized controlled trials and retrospective studies are required in order to further evaluate for other potential complications that may occur in this patient population.
METHODS: The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology. Four databases were utilized including PubMed, Cochrane Reviews, Embase, and CINAHL. Our search criteria consisted of the following keywords: gastrocnemius, flap, knee, and traum*.
RESULTS: A total of 204 studies were imported for screening, from which five papers met our final inclusion/exclusion criteria. The most common studies utilized in this review were case series followed by retrospective chart reviews. In total, 43 patients with traumatic soft tissue knee defects were included with an average patient age of 27.28 years. All patients had successful and clinical viable flaps post-operatively, and there were a total of five patients who had complications.
CONCLUSIONS: The gastrocnemius flap has demonstrated to be an effective option for individuals undergoing post-traumatic knee reconstruction. Infection rates, loss of mobility, and scarring represent a minority of complications that may be seen when this reconstructive technique is utilized. Still, additional randomized controlled trials and retrospective studies are required in order to further evaluate for other potential complications that may occur in this patient population.
摘要：
目的：膝关节的高能量损伤可能导致广泛的软组织损失，骨折,和潜在的伸肌功能丧失。对于膝盖和下肢近端三分之一受伤的患者，腓肠肌皮瓣是一种重要的重建选择。据我们所知,目前还没有一项关于使用带蒂腓肠肌内侧或外侧皮瓣进行创伤后膝关节重建术患者的预后评估的信息综述.这项研究的目的是评估膝关节外伤后接受腓肠肌皮瓣重建的患者的预后。
方法：使用系统评价和荟萃分析（PRISMA）方法的首选报告项目进行综述。使用了四个数据库，包括PubMed，Cochrane评论,Embase,和CINAHL。我们的搜索标准包括以下关键词：腓肠肌，襟翼,膝盖,和traum*。
结果：共有204项研究被输入用于筛查，其中五篇论文符合我们的最终纳入/排除标准。本综述中使用的最常见的研究是病例系列，然后是回顾性图表综述。总的来说,包括43例创伤性软组织膝关节缺损患者，患者平均年龄为27.28岁。所有患者术后均有成功且临床可行的皮瓣，共有五名患者出现并发症。
结论：腓肠肌皮瓣已被证明是创伤后膝关节重建患者的有效选择。感染率,流动性的丧失，和疤痕代表了少数的并发症，可以看到当这种重建技术被利用。尽管如此，我们还需要更多的随机对照试验和回顾性研究,以便进一步评估该患者人群中可能发生的其他潜在并发症.
方法：使用系统评价和荟萃分析（PRISMA）方法的首选报告项目进行综述。使用了四个数据库，包括PubMed，Cochrane评论,Embase,和CINAHL。我们的搜索标准包括以下关键词：腓肠肌，襟翼,膝盖,和traum*。
结果：共有204项研究被输入用于筛查，其中五篇论文符合我们的最终纳入/排除标准。本综述中使用的最常见的研究是病例系列，然后是回顾性图表综述。总的来说,包括43例创伤性软组织膝关节缺损患者，患者平均年龄为27.28岁。所有患者术后均有成功且临床可行的皮瓣，共有五名患者出现并发症。
结论：腓肠肌皮瓣已被证明是创伤后膝关节重建患者的有效选择。感染率,流动性的丧失，和疤痕代表了少数的并发症，可以看到当这种重建技术被利用。尽管如此，我们还需要更多的随机对照试验和回顾性研究,以便进一步评估该患者人群中可能发生的其他潜在并发症.
