We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap.
- Authors
Garcia-Vilariño, Elena; Perez-Garcia, Alberto; Salmeron-Gonzalez, Enrique; Sanchez-Garcia, Alberto; Bas, Jose Luis; Simon-Sanz, Eduardo
- Abstract
Despite the advances achieved in reconstructive surgery, amputation is still the only option after some severe traumas. Preservation of the knee joint is considered a significant functional advantage. We present the case of a 39-year-old man with a comminuted Gustilo type IIIC open tibia fracture with massive bone loss. To achieve a well-fashioned amputation stump and preserve the knee joint, a free osteocutaneous fillet flap was performed, including the distal tibia and fibula, talus, and calcaneus bones. As a result, a sensate and long amputation stump covered with thick skin from the sole of the foot provided a stable coverage with an excellent functional result and adjustment to prosthesis.
- Subjects
RESIDUAL limbs; FREE flaps; AMPUTATION; PLASTIC surgery; KNEE; COMPOUND fractures
- Publication
Indian Journal of Plastic Surgery, 2020, Vol 53, Issue 1, p135
- ISSN
0970-0358
- Publication type
Article
- DOI
10.1055/s-0040-1708226