Knee joint salvage utilising a plantar musculocutaneous island pedicle flap.
A young adult male presented with an open tibia-fibula fracture, extensive circumferential soft tissue loss and exposed bone. Although the fracture sites were stabilised by an external fixator, chronic infection complicated this 2-week-old wound. Treatment by amputation was elected. Local skin alone was inadequate for coverage of a preferred below-knee amputation. As an alternative to above-knee amputation, the patient underwent coverage of a below-knee amputation using a musculocutaneous island pedicle flap of sensate plantar skin and muscle.
J C
JC
Hamm
T R
TR
Stevenson
S J
SJ
Mathes
D000328:Adult; D000671:Amputation, Surgical; D005360:Fibula / Q000293:injuries*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000601:surgery*