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

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 nec...

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Autores principales: Burton, Harry, Iliadis, Alexios Dimitrios, Jones, Neil, Saini, Aaron, Bystrzonowski, Nicola, Vris, Alexandros, Pafitanis, Georgios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556299/
https://www.ncbi.nlm.nih.gov/pubmed/37808330
http://dx.doi.org/10.1055/a-2033-5803
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author Burton, Harry
Iliadis, Alexios Dimitrios
Jones, Neil
Saini, Aaron
Bystrzonowski, Nicola
Vris, Alexandros
Pafitanis, Georgios
author_facet Burton, Harry
Iliadis, Alexios Dimitrios
Jones, Neil
Saini, Aaron
Bystrzonowski, Nicola
Vris, Alexandros
Pafitanis, Georgios
author_sort Burton, Harry
collection PubMed
description 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.
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spelling pubmed-105562992023-10-07 Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation Burton, Harry Iliadis, Alexios Dimitrios Jones, Neil Saini, Aaron Bystrzonowski, Nicola Vris, Alexandros Pafitanis, Georgios Arch Plast Surg 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. Thieme Medical Publishers, Inc. 2023-08-24 /pmc/articles/PMC10556299/ /pubmed/37808330 http://dx.doi.org/10.1055/a-2033-5803 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Burton, Harry
Iliadis, Alexios Dimitrios
Jones, Neil
Saini, Aaron
Bystrzonowski, Nicola
Vris, Alexandros
Pafitanis, Georgios
Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation
title Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation
title_full Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation
title_fullStr Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation
title_full_unstemmed Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation
title_short Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation
title_sort osteocutaneous turn-up fillet flaps: a spare-parts orthoplastic surgery option for a functional posttraumatic below-knee amputation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556299/
https://www.ncbi.nlm.nih.gov/pubmed/37808330
http://dx.doi.org/10.1055/a-2033-5803
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