Calf plasty

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The term calf plastic surgery describes plastic surgery on the calf . These can affect their muscles or the soft tissue . They can be of a reconstructive or cosmetic nature.

reconstruction

Knee defects can result from accidents or from complicating processes after a knee prosthesis implantation with infection and subsequent tissue destruction.

Performing a calf plastic surgery using the gastrocnemius muscle (the actual calf muscle) is helpful to fill the defect and improve the healing of such defects . The heads of this muscle are cut at their attachments to the Achilles tendon and sewn into the defect in the knee area. Finally, the muscles are covered with a skin graft .

Cosmetic interventions

Reducing procedures

Liposuction for shaping the circumference of the calves is well known . Less known are the methods of muscle shaping, which are used in rare cases in the case of muscular calf hyperplasia (excessive muscle application). The most important interventions are the partial resection of the gastrocnemius muscle (origin in Korea) and the complete resection (origin in Germany) of the same. In the case of a partial resection, the muscle is reduced in a minimally invasive manner, so that a remnant remains. The radical total resection has the greatest effect of reducing the circumference in muscular calf hyperplasia and is therefore particularly indicated for extreme findings.

Augmentative procedures

In the case of calf hypoplasia (too small calf anlage), augmentative calf plasties are used. Silicon-containing implants are usually placed in the calf through an incision (in the hollow of the knee) in order to enlarge it. Patients who have had clubfoot surgery with calf hypoplasia or who have had polio benefit from this procedure.

Literature sources

  • IG Kim, SH Hwang, JM Lew, HY Lee: Endoscope-assisted calf reduction in Orientals. In: Plast Reconstr Surg . 106 (3), 2000 Sep, pp. 713-718.
  • G. Lemperle, K. Exner: The resection of gastrocnemius muscles in aesthetically disturbing calf hypertrophy. In: Plast Reconstr Surg . 102 (6), 1998 Nov, pp. 2230-2236.