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

Author:

Garcia-Vilariño Elena1ORCID,Perez-Garcia Alberto1,Salmeron-Gonzalez Enrique1,Sanchez-Garcia Alberto1,Bas Jose Luis2,Simon-Sanz Eduardo1

Affiliation:

1. Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain

2. Department of Traumatology, Hospital Universitario y Politécnico La Fe, Valencia, Spain

Abstract

AbstractDespite 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.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

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