Synchronous Bilateral Local Medial Sural Artery Perforator Flaps for “Hooker Knees”

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Author Info

Geoffrey Hallock

Corresponding Author

Geoffrey Hallock
Division of Plastic Surgery, St. Luke’s Hospital, Sacred Heart Division, Allentown, Pennsylvania, USA

A B S T R A C T

Pressure sores restricted to the knee region in an ambulatory patient are extremely unusual. However, this can be an occupational hazard for the prostitute who is not given the courtesy of adequate breaks to prevent simultaneous bilateral knee tissue ischemia. The existence of this condition to date has been poorly discussed in the reconstructive literature. Yet treatment varies little from the basic principles for pressure sore management. Once that is completed, the medial sural artery perforator flap donor site usually remains uninvolved by any etiological mechanisms and provides a local flap with a long pedicle that potentially can permit the necessary synchronous coverage of the bilateral “hooker knee.”

Article Info

Article Type

Case Report

Publication history

Received: Thu 16, Apr 2020
Accepted: Thu 30, Apr 2020
Published: Mon 04, May 2020

Copyright

© 2023 Geoffrey Hallock. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSCR.2020.02.07