What is a rectus femoris flap?
The rectus femoris (RF) muscle flap, which is widely used to cover groin infected vascular grafts, is usually harvested through distal tendon division and an extensive muscle elevation and transposition into the groin wound defect.
What is a muscle flap procedure?
Flap surgery involves transporting healthy, live tissue from one location of the body to another – often to areas that have lost skin, fat, muscle movement, and/or skeletal support.
What is muscle flap coverage?
The muscle flap uses only muscle for defect coverage. It is used primarily to provide a well-vascularized soft tissue that is relatively resistant to infection, helps wounds heal, and offers a vascularized surface for skin grafts. The muscle flap is commonly used to eradicate infection and to revascularize bone.
What blood vessels supplies blood in rectus femoris muscle?
lateral femoral circumflex artery descending branch
Vascular Anatomy The blood supply to the rectus femoris is via the lateral femoral circumflex artery descending branch. This same branch travels to supply the tissue of the anterolateral thigh flap. The ascending branch goes on to supply the tensor fascia lata muscle.
What is a Sartorius flap?
The sartorius muscle flap is performed by mobilizing the muscle along its lateral edge to preserve the medially based blood supply. (The most cephalad vascular supply is approximately 6.5 cm distal to the anterior superior iliac spine.) The muscle is then divided at its origin from the anterior superior iliac spine.
How big is rectus femoris?
The width to the ending point of the rectus femoris tendon was 3.20±0.33 cm and the width to the starting point was 1.28±0.25 cm. The length of the tendon mixed region was 3.81±0.53 cm, and the length of the rectus femoris tendon was 6.96±0.80 cm.
What nerve Innervates the rectus femoris?
The femoral nerve
The femoral nerve innervates the quadriceps femoris, a fourth of which is the rectus femoris. When the rectus femoris receives the signal that has traveled all the way from the medial side of the precentral gyrus, it contracts, extending the knee and flexing the thigh at the hip.
How long does it take to recover from muscle flap surgery?
It takes approximately two months for swelling and bruising to go away and up to two years for tissues to heal. Patients should plan to wear a surgical bra for six to eight weeks and to refrain from heavy exercise and certain sexual activities during this time.
What happens if your femoral artery is severed?
Depending on how the femoral artery is severed, a person can slip into unconsciousness and even die within a few minutes. The tourniquet had bought him the time he needed for the paramedics to get him to the Emergency Department at OSF HealthCare St. Mary Medical Center.
What is Sartorius transposition?
Sartorius transposition is an effective method of protecting vascular grafts jeopardized by the high frequency of wound problems associated with early reoperation.
What does rectus femoris pain feel like?
Symptoms include: Sudden sharp pain at the front of the hip or groin. Swelling and bruising may develop over the site of injury. It will feel particularly tender when pressing in (palpating) where the tendon attaches at the front of the hip.
What happens after flap surgery?
There will be a mild to moderate amount of pain and discomfort associated with the surgery. This should be easily controlled with oral medications. The discomfort and pain should begin to decrease within 48 hours after surgery. A significant increase in pain after this period should prompt you to call the office.