Reconstruction of bloody area in knees with saphenous medial neurofasciocutaneous flap. About a case

Abstract

Introduction: The internal saphenous neurofasciocutaneous flap has proven to be an excellent option due to its versatility and low morbidity in the donor area, it also provides thin coverage, with immense freedom of movement and maintains the functional integrity of the muscles, nerves and vascular trunks.

Objective: Present clinical multidisciplinary experience with the use of the internal saphenous neurofasciocutaneous flap in the reconstruction of the painful area of the knees, secondary to burn trauma.

Clinical Case: A 26-year-old male patient is presented, who was admitted to the Burn Service of the Hermanos Ameijeiras Clinical Surgical Hospital for presenting severe burns secondary to an electric motorcycle explosion; during his evolution, he presented bloody areas on both knees, which did not heal spontaneously, making it impossible for him to function. He initially underwent free skin grafting on both knees which was unsuccessful; subsequently, a bilateral internal saphenous neurofasciocutaneous flap was performed on the knees, obtaining a satisfactory result in the right knee, but not in the left as a consequence of circulatory alterations secondary to deep vein thrombosis of that lower limb.

Conclusions: The experience with the internal saphenous neurofasciocutaneous flap reported for the first time confirms the usefulness of the procedure, demonstrating that even in risk conditions it is presented as an alternative option for the reconstruction of this type of knee defects.