Three-Dimensional Reconstruction of the Below-Knee Amputation Stump

Stokes, Russell B.; Whetzel, Thomas P.; Stevenson, Thomas R.

doi:10.1097/00006534-199410000-00028

Cited by 32 publications

(10 citation statements)

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“…In the ensuing years, it proved to be a reliable flap, and because of the ease with which it can be harvested and its reliable longitudinal vascular supply, it has become very popular. [23][24][25][26][27][28][29] In agreement with other authors, we prefer retrograde flap harvest to the anterograde procedure. 22,29 In contrast to Nassif et al, 22 we integrated the fascia of the teres major muscle in all cases to protect the vascular pedicle.…”

Section: Discussionsupporting

confidence: 79%

Comparison of Anterolateral Thigh, Lateral Arm, and Parascapular Free Flaps with Regard to Donor-Site Morbidity and Aesthetic and Functional Outcomes

Klinkenberg

Fischer

Kremer

et al. 2013

Plastic and Reconstructive Surgery

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Section: Discussionsupporting

confidence: 79%

Comparison of Anterolateral Thigh, Lateral Arm, and Parascapular Free Flaps with Regard to Donor-Site Morbidity and Aesthetic and Functional Outcomes

Klinkenberg

Fischer

Kremer

et al. 2013

Plastic and Reconstructive Surgery

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“…16Y18 In contrast to the fillet f lap, other free f laps can be used in delayed secondary reconstruction procedures. 19,20 Free f laps are more reliable and may be well planned for elective surgical treatment. Gallico et al 3 introduced a variety of f laps for reconstruction of below-knee amputation stumps to preserve a functional prosthetic level, including latissimus dorsi myocutaneous f laps, groin f laps, fillet f laps, and latissimus dorsi muscle f laps with skin grafts.…”

Section: Discussionmentioning

confidence: 99%

Amputation Stump Revision Using a Free Sural Neurocutaneous Perforator Flap

Wang²,

Zhong³

et al. 2016

Annals of Plastic Surgery

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“…En 1982, Hamilton y Morrison, 19 y Nassif y cols. 20 demostraron que el colgajo paraescapular era fiable por la facilidad para su elevación y su anatomía vascular confiable; [21][22][23][24][25][26][27] se ha demostrado que el pedículo vascular del colgajo paraescapular es más constante que el del colgajo anterolateral del muslo. 20,[27][28][29][30] En los 20 colgajos paraescapulares evaluados en esta serie, no se observaron anomalías vasculares durante la disección del pedículo y, sobre la base de reportes previos, no se realizó una evaluación preoperatoria para confirmar su presencia.…”

Section: Discussionunclassified

Colgajo paraescapular en pérdidas postraumáticas de tejidos blandos de las extremidades. [Parascapular flap in post-traumatic soft-tissue loss at the limbs.]

Vanoli

Murillo

Centeno

et al. 2018

Rev. Asoc. Arg. Ort. y Traumatol

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ResumenIntroducción: El objetivo de este artículo es comunicar los resultados obtenidos con el uso del colgajo paraescapular para cubrir defectos severos postraumáticos de tejidos blandos en las extremidades. Materiales y Métodos: Estudio retrospectivo, descriptivo, de una serie de 20 pacientes a los que se les realizó un colgajo libre paraescapular para cubrir lesiones masivas combinadas postraumáticas de tejidos blandos en las extremidades, entre 2006 y 2017. La edad de los pacientes promedió 30 años (18 hombres, 2 mujeres). La localización de las lesiones fue: 10 en antebrazo y muñeca, una en la región inguinal, siete en la pierna y dos en tobillo/pie. Resultados: El seguimiento promedio fue de 3.6 años. Se logró la cobertura exitosa en 17 casos. El tamaño de los colgajos promedió 24,8 x 10,7 cm. Seis casos presentaron lesiones vasculonerviosas que necesitaron injerto, seis se asociaron a pérdidas óseas, 11 requirieron injerto de piel y cuatro, reconstrucciones tendinosas. En todos los pacientes, el área donante cerró en forma primaria y sin secuelas funcionales. Dicho colgajo se combinó con el escapular en tres casos y con colgajo de dorsal ancho en tres casos. Dos colgajos fallaron y debió amputarse la extremidad lesionada; un paciente falleció por embolia masiva al séptimo día de la cirugía. Conclusiones: El colgajo paraescapular permitió salvar y reconstruir satisfactoriamente defectos masivos extensos en 17 de 20 extremidades, sin morbilidad para la zona donante del colgajo, pero su uso no está exento de complicaciones, y un abordaje multidisciplinario es necesario para disminuir esta morbilidad. The aim of this paper is to present the results after the use of parascapular free flaps to cover severe softtissue defects at the extremities. Methods: A retrospective, descriptive study of 20 patients who received parascapular free flaps to cover massive combined soft-tissue lesions at the extremities as a salvage procedure from 2006 to 2017 was performed. Patients' age averaged 30 years (18 men, 2 women). Sites of lesions were: ten at the forearm and wrist, one at the inguinal region, seven at the leg and two at the ankle/foot. Results: Follow-up averaged 3.6 years. Successful coverage was achieved in 17 cases. Flap size averaged 24.8 x 10.7 cm. There were six cases with neurovascular lesions that needed grafting, six cases had associated bone loss, eleven patients needed skin graft and four required tendon reconstructions. Donor area closed primarily without functional limitations in all patients. In three cases the flap was combined with a scapular flap and in three cases with a latissimus dorsi flap. Two flaps failed and the injured limb was amputated; one patient died due to massive embolism seven days after surgery. Conclusions: Parascapular free flaps allowed salvage and reconstruction of 17 out of 20 severely injured limbs, without morbidity for the donor area. But its use is not free of complications, and a multidisciplinary approach is necessary to reduce this morbidity.

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Three-Dimensional Reconstruction of the Below-Knee Amputation Stump

Cited by 32 publications

References 0 publications

Comparison of Anterolateral Thigh, Lateral Arm, and Parascapular Free Flaps with Regard to Donor-Site Morbidity and Aesthetic and Functional Outcomes

Comparison of Anterolateral Thigh, Lateral Arm, and Parascapular Free Flaps with Regard to Donor-Site Morbidity and Aesthetic and Functional Outcomes

Amputation Stump Revision Using a Free Sural Neurocutaneous Perforator Flap

Colgajo paraescapular en pérdidas postraumáticas de tejidos blandos de las extremidades. [Parascapular flap in post-traumatic soft-tissue loss at the limbs.]

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