title: The Dixie Cup technique for salvaging limb length and preserving nerve continuity in the mangled lower extremity.
abstract: The mangled lower extremity posses a difficult problem for the reconstructive surgeon. We describe a novel technique for preserving limb length and maintaining nerve continuity in a severely injured lower extremity. This specific example of fixating the viable, sensate distal foot tissues onto the proximal tibia was vital in maintaining optimal limb length. This allowed for a more desirable level of amputation, preserved knee function, and provided well-vascularized, sensate soft tissue coverage.
authors.affiliation: Buncke Clinic, San Francisco, CA 94114, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Bodor
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Herrera
authors.forename: John
authors.initials: J
authors.lastname: Dickinson
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Buncke
authors.forename: Harry J
authors.initials: HJ
authors.lastname: Buncke
mesh_terms: D000328:Adult; D016267:External Fixators; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D007866:Leg / Q000098:blood supply / Q000294:innervation*; D007869:Leg Injuries / Q000150:complications / Q000601:surgery*; D007870:Leg Length Inequality / Q000209:etiology / Q000517:prevention & control*; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D009104:Multiple Trauma / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013977:Tibia / Q000601:surgery