Avoiding Above-the-Knee Amputation with a Free Tibiofibular-Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap

Autores de IIS La Fe

• Elena García Vilariño

  Autor

• Alberto Pérez García

  Autor

• Enrique Salmerón González

  Autor

• Alberto Sanchez Garcia

  Autor

• Jose Luis Bas Hermida

  Autor

• Eduardo Simon Sanz

  Autor

Grupos

• Dermatología y Regeneración Tisular

Abstract

Despite the advances achieved in reconstructive surgery, amputation is still the only option after some severe traumas. Preservation of the knee joint is considered a significant functional advantage. We present the case of a 39-year-old man with a comminuted Gustilo type IIIC open tibia fracture with massive bone loss. To achieve a well-fashioned amputation stump and preserve the knee joint, a free osteocutaneous fillet flap was performed, including the distal tibia and fibula, talus, and calcaneus bones. As a result, a sensate and long amputation stump covered with thick skin from the sole of the foot provided a stable coverage with an excellent functional result and adjustment to prosthesis.

Keywords

• fillet flap; spare parts surgery; free osteocutaneous fillet flap; amputation; bone defect