title: Covering the below-knee amputation stump with the pedicled dorsalis pedis flap from the ipsilateral foot: a case report.
abstract: It is important to preserve the length, appropriate durable skin, and sensation of the stump when performing below-knee amputation to achieve functional ambulation with a prosthesis. There are many reports of reconstruction procedures using microvascular surgery to preserve the optimum length of the amputation stump for prosthesis; however, free tissue reconstruction is necessary to accompany with the donor site morbidity. In this report, we describe our experience with a below-knee amputation and stump covering using the pedicled dorsalis pedis flap from the no longer usable foot in the case of a severe osteomyelitis of a lower extremity after highly contaminated Gustilo type IIIB fracture. We achieved a well-healed amputated stump with enough length for a prosthesis and for protective sensation. The pedicled dorsalis pedis flap is easily elevated without microvascular anastomosis and is one useful option for the reconstruction of the below-knee amputated stump in the specific case.
authors.affiliation: Department of Orthopedic Surgery, Graduate School of Medicine, Hokkaido University, Sapporo 060-8638, Japan. mmotomiya@med.hokudai.ac.jp
authors.forename: Makoto
authors.initials: M
authors.lastname: Motomiya
authors.forename: Norimasa
authors.initials: N
authors.lastname: Iwasaki
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Tazaki
authors.forename: Kinya
authors.initials: K
authors.lastname: Nishida
authors.forename: Tadanao
authors.initials: T
authors.lastname: Funakoshi
authors.forename: Akio
authors.initials: A
authors.lastname: Minami
mesh_terms: D000293:Adolescent; D000671:Amputation, Surgical; D000672:Amputation Stumps / Q000601:surgery*; D005528:Foot; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D007869:Leg Injuries / Q000000981:diagnostic imaging / Q000382:microbiology / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000379:methods*; D010019:Osteomyelitis / Q000175:diagnosis / Q000382:microbiology / Q000534:rehabilitation / Q000601:surgery; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps; D016896:Treatment Outcome