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Research Article| Volume 46, ISSUE 4, P303-306, 1993

Treatment of chronic recurrent synovial fistulae with myofascial flaps

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      Abstract

      Chronic recurrent synovial fistulae of the knee are uncommon. They can occur as a surgical complication or as a consequence of traumatic injuries. Conservative treatment is usually adequate for initial management, but no consensus exists about the treatment for chronic or recurrent cases and the literature on the subject is scarce.
      Two cases are presented in which initial conservative and subsequent conventional surgical management failed and reconstruction with regional myofascial flaps was required.

      Reference

        • Smason JB
        Post-Traumatic Fistula Connecting Prepatellar Bursa with Knee Joint.
        J Bone Joint Surg. 1972; 54-A: 1553-1554
        • Bennett RM
        • Hughes GRV
        • Bywaters EGL
        • Holt PJL
        Studies of a Popliteal Synovial Fistula.
        Ann Rheum Dis. 1972; 31: 482-486
        • Larson RL
        Synovial Sinus.
        in: Epps CH Complications in Orthopaedic Surgery. Lippincott, Philadelphia1978: 511
        • Hadied AM
        An Unusual Complication of Arthroscopy: A Fistula Between the Knee and the Prepatellar Bursa. Case Report.
        J Bone Joint Surg [am]. 1984; 66: 624
        • Proffer DS
        • Drez Jr, D
        • Daus GP
        Synovial Fistula of the Knee: A Complication of Arthroscopy.
        Arthroscopy. 1991; 7: 98-100
        • Sisk TD
        Knee Injuries.
        in: Crenshaw AH Campbell's Operative Orthopaedics. 7th ed. C.V. Mosby, St. Louis1987: 2283-2496
        • Miller III, RH
        General Principles of Arthroscopy.
        in: Crenshaw AH Campbell's Operative Orthopaedics. 8th ed. Mosby Year Book, Inc., St. Louis1991: 1769-1786
        • Mathes SJ
        • Alpert BS
        • Chang N
        Use of the Muscle Flap in Chronic Osteomyelitis. Experimental and Clinical Correlation.
        Plast Reconstr Surg. 1982; 69: 815-828
        • Chang N
        • Mathes SJ
        Comparison of the Effect of Bacterial Inoculation in Musculocutaneous and Random-Pattern Flaps.
        Plast Reconstr Surg. 1982; 70: 1-9
        • Mathes SJ
        • Feng LJ
        • Hunt TK
        Coverage of the Infected Wound.
        Ann Surg. 1983; 198: 420-428
        • Eshima I
        • Mathes SJ
        • Paty P
        Comparison of the Intracellular Bacterial Killing Activity of Leukocytes in Musculocutanoeus and Random-Pattern Flaps.
        Plast Reconstr Surg. 1990; 86: 541-547
        • Me´ndez-Ferna´ndez MA
        • Quast DC
        • Geis RC
        • Henly WS
        Distally-Based Sartorius Muscle Flap in the Treatment of Infected Femoral Arterial Prostheses.
        J Cardiovasc Surg. 1980; 21: 628-631
        • Me´ndez-Ferna´ndez MA
        • Hollan C
        • Frank DH
        • Fisher JC
        The Scrotal Myocutaneous Flap.
        Plast Reconstr Surg. 1986; 78: 676-678
        • Me´ndez-Ferna´ndez MA
        Uso de Colgajos Musculares y Miocuta´neous para Tratar Pro´tesis Vasculares Expuestas.
        Cir Plast Ibero-Latino-Amer. 1988; 14: 117-124
        • Me´ndez-Ferna´ndez MA
        Tratamiento de la Esternotomi´a Media Complicada.
        Cir Plast Ibero-Latino-Amer. 1989; 15: 287-296