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CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(01): 135-139
DOI: 10.1055/s-0040-1708226
Case Report

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

Elena Garcia-Vilariño 
1   Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
,
Alberto Perez-Garcia
1   Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
,
Enrique Salmeron-Gonzalez
1   Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
,
Alberto Sanchez-Garcia
1   Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
,
Jose Luis Bas
2   Department of Traumatology, Hospital Universitario y Politécnico La Fe, Valencia, Spain
,
Eduardo Simon-Sanz
1   Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
› Author Affiliations Funding Information None received.
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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


Publication History

Article published online:
01 April 2020

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