Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap

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 fr...

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Published inIndian journal of plastic surgery Vol. 53; no. 1; pp. 135 - 139
Main Authors Garcia-Vilariño, Elena, Perez-Garcia, Alberto, Salmeron-Gonzalez, Enrique, Sanchez-Garcia, Alberto, Bas, Jose Luis, Simon-Sanz, Eduardo
Format Journal Article
LanguageEnglish
Published A-12, Second Floor, Sector -2, NOIDA -201301, India Thieme Medical and Scientific Publishers Private Ltd 01.03.2020
Thieme Medical Publishers, Inc
Subjects
amputation
bone defect
Case Report
fillet flap
free osteocutaneous fillet flap
spare parts surgery
amputation
free osteocutaneous fillet flap
bone defect
spare parts surgery
fillet flap
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Summary: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.
ISSN:0970-0358
1998-376X
DOI:10.1055/s-0040-1708226