title: Outcomes after 294 transtibial amputations with the posterior myocutaneous flap.
abstract: The transtibial amputation is a common operation for which there is little agreement regarding which technique provides the most reliable and resilient outcomes. We performed a retrospective chart review of all transtibial amputations performed by a single surgeon between 2004 and 2011 using the posterior myocutaneous flap with triceps surae myodesis technique. A stepwise logistic regression analysis was performed to evaluate the association between independent variables and dependent outcome variables. A total of 270 patients with 294 transtibial amputations were identified. Ambulation data were available for 192 patients with a mean follow-up 18.4 months. This cohort had an overall ambulation rate of 75%, a 12% incidence of stump wounds, 24% operative revision rate and only 2% required conversion to a transfemoral amputation. The posterior myocutaneous flap provides durable and reliable soft tissue coverage in the setting of a transtibial amputation.
authors: 1Georgetown University Hospital, Washington, DC, USA.
authors: Benjamin J
authors: BJ
authors: Brown
authors: Matthew L
authors: ML
authors: Iorio
authors: Mitchell
authors: M
authors: Klement
authors: Michael R
authors: MR
authors: Conti Mica
authors: Amine
authors: A
authors: El-Amraoui
authors: Peter
authors: P
authors: O'Halloran
authors: Christopher E
authors: CE
authors: Attinger
mesh_terms: D000671:Amputation, Surgical / Q000379:methods* / Q000534:rehabilitation; D001186:Artificial Limbs; D017719:Diabetic Foot / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D064827:Myocutaneous Flap; D012189:Retrospective Studies; D013977:Tibia / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology
keywords: below-knee amputation; lower extremity salvage; prosthetic limb; transtibial amputation