Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap
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 wi...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-03-01
|
| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708226 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849698162394005504 |
|---|---|
| author | Elena Garcia-Vilariño Alberto Perez-Garcia Enrique Salmeron-Gonzalez Alberto Sanchez-Garcia Jose Luis Bas Eduardo Simon-Sanz |
| author_facet | Elena Garcia-Vilariño Alberto Perez-Garcia Enrique Salmeron-Gonzalez Alberto Sanchez-Garcia Jose Luis Bas Eduardo Simon-Sanz |
| author_sort | Elena Garcia-Vilariño |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a664e5964afa4d7a95041dec0da5320d |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-a664e5964afa4d7a95041dec0da5320d2025-08-20T03:19:00ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2020-03-01530113513910.1055/s-0040-1708226Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi FlapElena Garcia-Vilariño0Alberto Perez-Garcia1Enrique Salmeron-Gonzalez2Alberto Sanchez-Garcia3Jose Luis Bas4Eduardo Simon-Sanz5Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, SpainDepartment of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, SpainDepartment of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, SpainDepartment of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, SpainDepartment of Traumatology, Hospital Universitario y Politécnico La Fe, Valencia, SpainDepartment of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, SpainDespite 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708226fillet flapspare parts surgeryfree osteocutaneous fillet flapamputationbone defect |
| spellingShingle | Elena Garcia-Vilariño Alberto Perez-Garcia Enrique Salmeron-Gonzalez Alberto Sanchez-Garcia Jose Luis Bas Eduardo Simon-Sanz Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap Indian Journal of Plastic Surgery fillet flap spare parts surgery free osteocutaneous fillet flap amputation bone defect |
| title | Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap |
| title_full | Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap |
| title_fullStr | Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap |
| title_full_unstemmed | Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap |
| title_short | Avoiding Above-the-Knee Amputation with a Free Tibiofibular–Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap |
| title_sort | avoiding above the knee amputation with a free tibiofibular talocalcaneal fillet flap and free latissimus dorsi flap |
| topic | fillet flap spare parts surgery free osteocutaneous fillet flap amputation bone defect |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708226 |
| work_keys_str_mv | AT elenagarciavilarino avoidingabovethekneeamputationwithafreetibiofibulartalocalcanealfilletflapandfreelatissimusdorsiflap AT albertoperezgarcia avoidingabovethekneeamputationwithafreetibiofibulartalocalcanealfilletflapandfreelatissimusdorsiflap AT enriquesalmerongonzalez avoidingabovethekneeamputationwithafreetibiofibulartalocalcanealfilletflapandfreelatissimusdorsiflap AT albertosanchezgarcia avoidingabovethekneeamputationwithafreetibiofibulartalocalcanealfilletflapandfreelatissimusdorsiflap AT joseluisbas avoidingabovethekneeamputationwithafreetibiofibulartalocalcanealfilletflapandfreelatissimusdorsiflap AT eduardosimonsanz avoidingabovethekneeamputationwithafreetibiofibulartalocalcanealfilletflapandfreelatissimusdorsiflap |