[A free musculocutaneous flap and an intramedullary nail made the use of a prosthesis possible in a high traumatic femoral amputation].
The length of the stump and the quality of the soft tissue coverage are important for prosthesis fitting and mobility. In a high traumatic femoral amputation soft tissue reconstruction with a free musculocutaneous latissimus dorsi (LD) flap was performed to preserve bone length and provide proper tissue coverage. The extremely short stump was later on lengthened using a motorized intramedullary nail (Fitbone), and the achieved bone-lengthening was 14 cm. With the combined modalities of an LD-flap and Fitbone lengthening of the stump, the patient now has a useful limb function.
jfelbo@hotmail.com.
Jakob Felbo
JF
Paulsen
Finn Edgar
FE
Warburg
Knud Stenild
KS
Christensen
Rikke
R
Holmgaard
D000671:Amputation, Surgical; D000672:Amputation Stumps; D001753:Blast Injuries / Q000473:pathology / Q000601:surgery*; D001852:Bone Lengthening / Q000379:methods*; D001858:Bone Nails; D005269:Femur / Q000293:injuries / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D064827:Myocutaneous Flap; D019919:Prosthesis Implantation; D055815:Young Adult