TY - JOUR
AR - JSCR-2020-2-107
TI - Synchronous Bilateral Local Medial Sural Artery Perforator Flaps for “Hooker Knees”
AU - Geoffrey , Hallock
JO - Surgery Case Reports
PY - 2020
DA - Mon 04, May 2020
SN - 2733-225X
DO - http://dx.doi.org/10.31487/j.JSCR.2020.02.07
UR - https://www.sciencerepository.org/synchronous-bilateral-local-medial-sural-artery-perforator-flaps-for_JSCR-2020-2-107 
KW - Hooker knees, medial sural artery perforator flap, pressure sores
AB - 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.”