[Lateral superior genicular flap combined with Tuihuang xiaozhong decoction for the treatment of soft tissue defects around the knee joint].
OBJECTIVE
To evaluate the early combination of Chinese and Western medicine for anti-inflammation and lateral superior genicular flap for the treatment of soft tissue defects around the knee joint.


METHODS
From June 2004 to September 2008, 8 patients with soft tissue defects around the knee joint were treated with lateral superior genicular flap. Among the patients, 5 patients were male and 3 patients were female, ranging in age from 32 to 56 years, with an average of 35.2 years. The defected area ranged from 7.6 cm x 4.5 cm to 15.2 cm x 7.5 cm. The disease course ranged from 3 months to 3 years. Three patients had the defects at the posterior of the knee, 2 patients had the defects at the popliteal fossa, and 3 patients had the defects at the lateral side of the knee. At the early stage, all the patients were treated with Tuihuang Xiaozhong decoction and antibiotics for 3 to 5 days.


RESULTS
All the flaps survived, and the knee function recovered. One patient had epidermis necrosis at the distal end of the flap of lateral side of the knee.


CONCLUSIONS
The early combination of Chinese and Western medicine for anti-inflammation is a simple, easy to promote, and no special microsurgical instruments are needed.
Wang
Jun-Yi
JY
Department of Orthopaedics, Health Center of Jiajia Town, Jianyang 641421, Sichuan, China. zxyyhgk@t63.com
Li
Da-Wei
DW
Jin
Tian-Ming
TM
Liu
Zhong-Wen
ZW
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D003131:Combined Modality Therapy; D004333:Drug Administration Routes; D004365:Drugs, Chinese Herbal / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000188:drug therapy* / Q000276:immunology / Q000601:surgery*; D007719:Knee Joint / Q000187:drug effects / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017695:Soft Tissue Injuries / Q000188:drug therapy* / Q000276:immunology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D004365:Drugs, Chinese Herbal