Amputation Stump Revision Using a Free Sural Neurocutaneous Perforator Flap

Abstract

The sural neurocutaneous perforator flap provided stable coverage and improved patients' quality of life by aiding in early rehabilitation and prosthetic fitting, function, and comfort.

Exploring the Role of Free Tissue Transfers in the Preservation of Bone Length and Knee Joint Function after Lower Limb Trauma: A Retrospective Analysis

“…Various soft tissue transfers for both AKA and BKA amputees were successful. Like findings from other studies, most patients required minor stump corrections to achieve final treatment closure, demonstrating the effectiveness of reconstructive techniques in improving overall functionality and prosthetic use [1][2][3][6][7][8][9][10][11].…”

“…Soft tissue transfer has proven to be a valuable tool in limb salvage for patients after critical trauma. In some cases, if limb salvage attempts with flap reconstruction are unsuccessful, a second flap surgery may be considered to preserve bone length and the knee joint [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

“…Since Jupiter's pioneering report in 1982 on using "spare parts" from amputated limbs as a source of healthy tissue to cover distal stumps, various types of pedicled or free flaps have been proposed for the coverage of amputated stumps (Table 1) [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. However, these techniques are not commonly employed in clinical practice, and their use is often overlooked, especially in traumatic events.…”

Wound Healing: Cellular Review With Specific Attention to Postamputation Care

“…Attention to neurovascular structures, such as burying nerve ends to prevent neuropathic pain during prosthesis wear, is crucial. 32 In extremity amputations, surgeons often resort to free flap transfer techniques for stump reconstruction. In a study of 31 patients with severe lower extremity injuries undergoing various amputations, the use of latissimus dorsi myocutaneous flaps, alone or in combination with serratus anterior muscle flaps, resulted in fewer instances of deep ulceration and allowed for earlier prosthesis wear.…”