[Use of "foot-bank" tissue to cover amputation stumps. Apropos of 4 cases].
OBJECTIVE
The authors report 4 cases of plantar skin free transfer to cover an amputation stump.


METHODS
In two cases, operated as emergencies, a flap based on the posterior tibial pedicle was harvested from a non-reimplantable extremity. In one case the calcaneum was included in the flap to provide a stump wide enough to hold a prosthesis. The two others cases concerned planned amputation of non-functional extremities, with free transfer of the available plantar skin areas.


RESULTS
All 4 patients healed well and the skin coverage provided a good quality stump which was rapidly equipped with prostheses.


CONCLUSIONS
Covering amputation stumps with a free flap from the foot bank has proven to be a reliable procedure, economic for the patient, affording a good physiologic bearing surface.


CONCLUSIONS
This method should proposed in emergency amputations according to local conditions, and may also be advantageous in some cases of secondary surgery.
Hulard
O
O
Service de Chirurgie Plastique et Réparatrice, Hôpital de la Conception, Marseille.
Toledano
E
E
Zalta
R
R
Legre
R
R
Magalon
G
G
D000328:Adult; D000672:Amputation Stumps; D000714:Anastomosis, Surgical / Q000379:methods; D004630:Emergencies; D005528:Foot / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D012092:Replantation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome
Utilisation du "pied-banque" pour la couverture des moignons d'amputation. A propos de 4 cas.