Free vascularised osteocutaneous filet flap for covering, that permitted sensitive terminal weight-bearing by a thigh stump after transfemoral amputation.
We covered a transfemoral amputation stump with a modified free filet flap including the calcaneus. The flap survived, resulting in lengthening of the femur, improved distal weight-bearing, preserved sensitivity of the stump, and the design of a prosthesis with terminal loading of the femur rather than an ischial contained prosthesis.
Werner
C M L
CM
Department of Orthopaedics, University of Zurich, Balgrist, Switzerland.
Exner
G U
GU
Dumont
C E
CE
D000328:Adult; D000671:Amputation, Surgical; D000672:Amputation Stumps / Q000294:innervation* / Q000601:surgery*; D001186:Artificial Limbs; D001859:Bone Neoplasms / Q000601:surgery; D005269:Femur / Q000601:surgery; D006801:Humans; D012516:Osteosarcoma / Q000601:surgery; D017755:Prosthesis Fitting; D012677:Sensation; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation*; D016474:Weight-Bearing