title: [Transtibial amputation salvage with a cutaneous flap based on posterior tibial perforators].
abstract: When performing an amputation of the lower limb, the preservation of the knee joint is important to obtain an optimal functional outcome. Many reconstruction procedures are available to cover the amputation defect in order to preserve a sufficient length of the stump, so a prosthesis could be put in place with the best functional results. Local musculocutaneous flaps or free flaps are conventionally described with their advantages and disadvantages. In this report, we describe our experience with a transtibial amputation and stump covering using a fasciocutaneous flap based on tibial posterior perforators. An extensive tibial bone exposure with only posterior skin was viable. It is an efficient and reliable solution for covering tibial stump without microvascular anastomosis.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, CHU Croix Rousse, 103 Grande rue de la Croix Rousse, Lyon, France. fabienboucher@orange.fr
authors.forename: F
authors.initials: F
authors.lastname: Boucher
authors.forename: C
authors.initials: C
authors.lastname: Ho Quoc
authors.forename: B
authors.initials: B
authors.lastname: Pinatel
authors.forename: P-O
authors.initials: PO
authors.lastname: Thiney
authors.forename: A
authors.initials: A
authors.lastname: Mojallal
mesh_terms: D000328:Adult; D000672:Amputation Stumps / Q000098:blood supply* / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D001186:Artificial Limbs; D003161:Compartment Syndromes / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D061525:Perforator Flap / Q000098:blood supply* / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012206:Rhabdomyolysis / Q000601:surgery*; D013977:Tibia / Q000601:surgery*; D016909:Tibial Arteries / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology
keywords: Amputation du membre inférieur; Amputation transtibiale; Artère tibiale postérieure; Functional outcome of amputation; Lambeau perforant; Lower-limb amputation; Perforator flaps; Posterior tibial artery; Résultat fonctionnel d’amputation; Transtibial amputation