The quadriceps myocutaneous flap for operation on the distal femur.
We describe a U-shaped approach to the distal femur which, having divided the extensor mechanism and elevated the entire quadriceps muscle, gives excellent exposure and allows a number of reconstructive options. It was used in 14 patients, 13 of whom were followed up for a mean of 3.5 years (1 to 11). There was no case of flap necrosis, and complications related to the reconstruction were acceptable.
Kerry
R M
RM
Division of Reconstructive Orthopaedics, University of British Columbia, Vancouver, Canada.
Masri
B A
BA
Beauchamp
C P
CP
Duncan
C P
CP
D000293:Adolescent; D000328:Adult; D002648:Child; D002813:Chondrosarcoma / Q000601:surgery; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery*; D005500:Follow-Up Studies; D018212:Giant Cell Tumor of Bone / Q000601:surgery; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D013524:Surgical Flaps