title: Skew flap for staged below-knee amputation in sepsis.
abstract: Skew flap amputation was first described in the 1980s but was never as popular as the long posterior flap amputation. This report describes a staged below-knee amputation in sepsis, with pus throughout the leg and a lack of skin coverage. One benefit of skew flaps never previously published is the fact that the suture line is not directly over the tibia. Therefore, an open wound or incomplete skin coverage is not as important as in long posterior flaps where it often leads to bone exposure and revision amputation. These benefits were utilized in this case leading to stump healing.
authors.affiliation: South East Wales Vascular Network, Royal Gwent Hospital, Newport, Wales, UK.
authors.forename: Christopher O
authors.initials: CO
authors.lastname: Matthews
authors.affiliation: South East Wales Vascular Network, Royal Gwent Hospital, Newport, Wales, UK.
authors.forename: Ian M
authors.initials: IM
authors.lastname: Williams
authors.affiliation: South East Wales Vascular Network, Royal Gwent Hospital, Newport, Wales, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Lewis
authors.affiliation: South East Wales Vascular Network, Royal Gwent Hospital, Newport, Wales, UK.
authors.forename: A David
authors.initials: AD
authors.lastname: McLain
authors.affiliation: South East Wales Vascular Network, Royal Gwent Hospital, Newport, Wales, UK chris_twine@hotmail.com.
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Twine
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps; D017719:Diabetic Foot / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000601:surgery*; D008297:Male; D018805:Sepsis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing; D014946:Wound Infection / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*
keywords: Amputation; diabetes; peripheral vascular disease; sepsis; wound closure techniques