Author | Flap type | Healing rate | Complications | Mean f/u (months) | Minimum f/u (months) | Maximum f/u (months) |
---|---|---|---|---|---|---|
Adam et al. | Medial gastrocnemius (n = 14) | 57.1% | Infection (n = 14) | 64.8 | 12 | 120 |
Anract et al. | Gastrocnemius + pes anserinus (n = 4) Gastrocnemius (n = 5) | 100% | Infection and arthrodesis (n = 1) | 23 | 6 | 30 |
Boopalan et al. | Medial + lateral gastrocnemius (n = 1) | 100% | None | 18 | – | – |
Busfield et al. | Medial gastrocnemius (n = 9) | 71.4% | Wound breakdown (n = 1) Infection (n = 1) | 21 | 7 | 31 |
Carlesimo et al. | Medial gastrocnemius (n = 8) | 100% | None | 21.6 | 8 | 36 |
Casanova et al. | Medial gastrocnemius (n = 4) Lateral gastrocnemius (n = 2) Medial + lateral gastrocnemius (n = 1) | 85.7% | Infection (n = 1) | 28 | 14 | 59 |
Chiou et al. | Lateral gastrocnemius–Achilles tendon (n = 1) | 100% | None | 18 | – | – |
Corten et al. | Gastrocnemius (n = 24) | 92% | Nonhealing (n = 2) Wound breakdown (n = 1) Infection (n = 1) Above-knee amputation (n = 1) | 54 | 12 | 120 |
Gerwin et al. | Medial gastrocnemius (n = 12) | 92% | Wound necrosis (n = 1) | 41 | 19 | 119 |
Houdek et al. | Gastrocnemius (n = 83) | 68% | At least one postoperative complication (n = 59) Multiple complications (n = 32) | 96 | 24 | 240 |
Jaureguito et al. | Medial gastrocnemius (n = 6) | 100% | Manipulation under anesthesia (n = 1) Infection (n = 1) | 33 | 26 | 41 |
Markovich et al. | Medial gastrocnemius (n = 6) | 100% | None | 49.2 | 12 | 96 |
McPherson et al. | Medial gastrocnemius (n = 21) | 95.2% | Skin necrosis (n = 4) Partial necrosis skin graft (n = 3) Partial peroneal nerve palsy (n = 3) Flare of preexisting reflex sympathetic dystrophy (n = 3) Chronic lower leg swelling (n = 3) Intraoperative fracture of femoral condyle (n = 2) Patellar tendon rupture (n = 2) Patellar tendon stretch (n = 1) S1 nerve palsy (n = 1) Knee stiffness (n = 1) Recurrent knee infection (n = 1) Catheter infection (n = 2) Fat embolus (n = 1) Cholecystitis requiring cholecystectomy (n = 1) | 17 | 5.1 | 33.1 |
Moog et al. | Medial gastrocnemius (n = 20) | 75% | Nonhealing (n = 3) Infection (n = 5) | 24.2 ± 3.1 | – | – |
Nahabedian et al. | Gastrocnemius (n = 19) | 79% | Partial necrosis (n = 3) Nonhealing (n = 1) | 70.7 | 24 | 120 |
Ng et al. | Medial gastrocnemius (n = 1) | 0% | Dehiscence (n = 1) | 24 | 24 | 24 |
Pozzobon et al. | Medial gastrocnemius (n = 8) | 89% | Amputation (n = 4) | 25.2 | 5 | 60 |
Ries et al. | Medial gastrocnemius (n = 12) | 92% | Additional coverage (n = 3) Above-knee amputation (n = 1) | 28 | 18 | 48 |
Siim et al. | Gastrocnemius (n = 4) | 25% | Fistula (n = 2) Poor vascularization (n = 1) | 96 | 12 | 204 |
Suda et al. | Lateral gastrocnemius (n = 2) Medial gastrocnemius (n = 12) Lateral + medial gastrocnemius (n = 1) | 47% | Lateral gastrocnemius: Minor complication (n = 1) Medial gastrocnemius: Minor complications (n = 3) Major complications (n = 2) Infection (n = 2) | 37 | 13 | 61 |
Tetreault et al. (2017) | Medial gastrocnemius (n = 31) | 48% | Infection (n = 14) | 48 | 24 | 72 |
Tetreault et al. (2016) | Medial gastrocnemius (n = 27) | 48% | Infection (n = 14) | 48 | 24 | 72 |
Theil et al. | Lateral gastrocnemius (n = 6) Medial gastrocnemius (n = 37) | 65% | Infection (n = 15) | 53 (median) | 18 | 79 |
Warren et al. | Medial gastrocnemius (n = 24) Lateral gastrocnemius (n = 1) | 42% | Lateral gastrocnemius: Arthrodesis (n = 1) Medial gastrocnemius: Recurrent infection (n = 18) Arthrodesis (n = 4) Above-knee amputation (n = 5) | 39.6 | 1.2 | 216 |
Young et al. | Gastrocnemius (n = 15) | 73% | Above-knee amputation (n = 3) Arthrodesis (n = 1) | 33 | 5 | 96 |