Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation

被引：1

作者：

Burton, Harry ^{[1
]}

Iliadis, Alexios Dimitrios ^{[2
]}

Jones, Neil ^{[2
]}

Saini, Aaron ^{[3
]}

Bystrzonowski, Nicola ^{[2
]}

Vris, Alexandros ^{[2
]}

Pafitanis, Georgios ^{[1
,2
,4
,5
]}

机构：

[1] Barts Hlth NHS Trust, Dept Plast Surg, Emergency Care & Trauma Div, London Reconstruct Microsurg Unit,Royal London Hos, London, England

[2] Barts Health NHS Trust, Dept Trauma & Orthopaed, Emergency Care & Trauma Div, Limb Reconstruct & Bone Infect Unit,Royal London H, London, England

[3] Kings Coll Hosp Fdn Trust, Dept Trauma & Orthopaed, Trauma & Limb Reconstruct Unit, London, England

[4] Univ Cyprus, Med Sch, Dept Med, Nicosia, Cyprus

[5] Barts Hlth NHS Trust, Dept Plast Surg, Emergency Care & Trauma Div, London Reconstruct Microsurg Unit LRMU,Royal Londo, London E11 FR, England

来源：

ARCHIVES OF PLASTIC SURGERY-APS | 2023年 / 50卷 / 05期

关键词：

osteocutaneous flap; fillet flap; spare-parts surgery; below knee amputation; BONE FLAP; SALVAGE;

D O I：

10.1055/a-2033-5803

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This article portrays the authors' experience with a complex lower limb bone and soft tissue defect, following chronic osteomyelitis and pathological fracture, which was managed by the multidisciplinary orthoplastic team. The decision for functional amputation versus limb salvage was deemed necessary, enhanced by the principles of "spare parts" in reconstructive microsurgery. This case describes the successful use of the osteocutaneous distal tibia turn-up fillet flap that allowed "lowering the level of the amputation" from a through knee to a below-knee amputation (BKA) to preserve the knee joint function. We comprehensibly review reports of turn-up flaps which effectively lower the level of amputation, also applying "spare-parts" surgery principles and explore how these concepts refine complex orthoplastic approaches when limb salvage is not possible to enhance function. The osteocutaneous distal tibia turn-up fillet flap is a robust technique for modified BKA reconstructions that provides sufficient bone length to achieve a tough, sensate stump and functional knee joint.

引用

页码：501 / 506

页数：6