Use of an Osteocutaneous Plantar Free Flap for Salvage of a Below-the-Knee Amputation in a Child. A Case Report*

Waters, Peter M.; Taylor, Brandon A.

doi:10.2106/00004623-199707000-00015

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2013

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Cited by 2 publications

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“…It is a well-established procedure in Microsurgery. [12] Here, we present a case of harvesting double free flaps from an amputated non-replantable lower limb for the contralateral limb. This is based on the Gillies’ Principle, which states -Do not throw away any tissue.…”

Section: Introductionmentioning

confidence: 99%

Double flap from amputated opposite lower limb for cover of plantar and dorsal surfaces of a crushed foot

Kumta

Purohit

Anurag

2013

Indian J Plast Surg

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Section: Introductionmentioning

confidence: 99%

Double flap from amputated opposite lower limb for cover of plantar and dorsal surfaces of a crushed foot

Kumta

Purohit

Anurag

2013

Indian J Plast Surg

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Vascularized Plantar Myocutaneous Free Flap Transfer for Amputee Stump Preparation: A Proof of Concept Cadaver Study

et al. 2013

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Lower extremity amputee stump ulceration, irritation, and pain have been a deterrent to consistent long-term or continuous use of lower extremity prosthetics. This study is the first in a series that hypothesizes that these complications can be minimized through the insetting of a vascularized plantar free flap (VPFF) on the amputee stump. Using three hip disarticulated cadaver specimens, a VPFF was designed, dissected, and implanted on one transfemoral and two transtibial stumps. Using accepted vascular anastomosis techniques, the posterior tibial artery was anastomosed to the distal femoral or popliteal artery with corresponding anastomoses for venous drainage. In addition, the possibility of a limited to partial sensate flap may be created with a neurorrhaphy of the associated nerves. This potentially sensate area would provide plantar skin that aids the existing local sensate flap used to close the defect. It is hypothesized that this procedure offers significant rehabilitative and long-term benefits to battlefield or other acute causes for lower extremity amputation. The procedure can be accomplished in battlefield surgical setting as an immediate or delayed inset for some but not all traumatic amputations. Salvaging a partial or complete VPFF from a traumatized foot will obviously be predicated on the degree of trauma to the donor tissue.

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Use of an Osteocutaneous Plantar Free Flap for Salvage of a Below-the-Knee Amputation in a Child. A Case Report*

Cited by 2 publications

References 12 publications

Double flap from amputated opposite lower limb for cover of plantar and dorsal surfaces of a crushed foot

Double flap from amputated opposite lower limb for cover of plantar and dorsal surfaces of a crushed foot

Vascularized Plantar Myocutaneous Free Flap Transfer for Amputee Stump Preparation: A Proof of Concept Cadaver Study

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