Partial replantation after traumatic proximal lower limb amputation: a one-stage reconstruction with free osteocutaneous transfer from the amputated limb.
A case of immediate stump reconstruction following proximal leg amputation below the knee is reported. Additional length and sensation are conferred to the stump by free autotransplantation of a composite flap taken from the unsalvageable amputated leg. This flap provided 13 cm of vascularized tibia invested in the skin of the foot. This operative procedure facilitated the fitting of a prosthesis and preserved knee function despite an initial very proximal amputation.
Dubert
T
T
Department of Orthopaedic and Traumatologic Surgery, Hôpital Bichat/Claude-Bernard, Paris, France.
Oberlin
C
C
Alnot
J Y
JY
D000328:Adult; D000672:Amputation Stumps; D000673:Amputation, Traumatic / Q000601:surgery*; D000714:Anastomosis, Surgical; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008866:Microsurgery; D012092:Replantation / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods*; D013977:Tibia / Q000293:injuries / Q000601:surgery; D013979:Tibial Nerve / Q000293:injuries / Q000601:surgery; D014182:Transplantation, Autologous