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Covering the below‐knee amputation stump with the pedicled dorsalis pedis flap from the ipsilateral foot: A case report
Author(s) -
Motomiya Makoto,
Iwasaki Norimasa,
Tazaki Yasushi,
Nishida Kinya,
Funakoshi Tadanao,
Minami Akio
Publication year - 2011
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20831
Subject(s) - medicine , amputation , surgery , prosthesis , microsurgery , dorsalis pedis artery , free flap , foot (prosody) , osteomyelitis , anastomosis , linguistics , philosophy , artery
It is important to preserve the length, appropriate durable skin, and sensation of the stump when performing below‐knee amputation to achieve functional ambulation with a prosthesis. There are many reports of reconstruction procedures using microvascular surgery to preserve the optimum length of the amputation stump for prosthesis; however, free tissue reconstruction is necessary to accompany with the donor site morbidity. In this report, we describe our experience with a below‐knee amputation and stump covering using the pedicled dorsalis pedis flap from the no longer usable foot in the case of a severe osteomyelitis of a lower extremity after highly contaminated Gustilo type IIIB fracture. We achieved a well‐healed amputated stump with enough length for a prosthesis and for protective sensation. The pedicled dorsalis pedis flap is easily elevated without microvascular anastomosis and is one useful option for the reconstruction of the below‐knee amputated stump in the specific case. © 2010 Wiley‐Liss, Inc. Microsurgery, 2011.