Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level

SUMMARY: The reconstruction of defects around the knee often poses a challenge due to the limited availability of local soft tissues. Indeed, this same problem is encountered when attempting to revise a below-knee amputation stump. Moreover, due to a paucity of recipient vessels in those who have un...

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Autores principales: Sadigh, Parviz Lionel, Wu, Cheng-Jung, Shih, Hsiang-Shun, Jeng, Seng-Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174108/
https://www.ncbi.nlm.nih.gov/pubmed/25289282
http://dx.doi.org/10.1097/GOX.0000000000000030
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author Sadigh, Parviz Lionel
Wu, Cheng-Jung
Shih, Hsiang-Shun
Jeng, Seng-Feng
author_facet Sadigh, Parviz Lionel
Wu, Cheng-Jung
Shih, Hsiang-Shun
Jeng, Seng-Feng
author_sort Sadigh, Parviz Lionel
collection PubMed
description SUMMARY: The reconstruction of defects around the knee often poses a challenge due to the limited availability of local soft tissues. Indeed, this same problem is encountered when attempting to revise a below-knee amputation stump. Moreover, due to a paucity of recipient vessels in those who have undergone previous amputation secondary to trauma, free-flap reconstruction is often challenging and not always successful. We report a case of a reverse anterolateral thigh (ALT) flap used to revise a long below-knee amputation stump. Previous reports in the literature attest to the versatility of the reverse ALT to cover defects around the knee and proximal tibia, but to our knowledge, this is the first report of a reverse ALT reaching to the mid-tibial level.
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spelling pubmed-41741082014-10-06 Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level Sadigh, Parviz Lionel Wu, Cheng-Jung Shih, Hsiang-Shun Jeng, Seng-Feng Plast Reconstr Surg Glob Open Ideas and Innovations SUMMARY: The reconstruction of defects around the knee often poses a challenge due to the limited availability of local soft tissues. Indeed, this same problem is encountered when attempting to revise a below-knee amputation stump. Moreover, due to a paucity of recipient vessels in those who have undergone previous amputation secondary to trauma, free-flap reconstruction is often challenging and not always successful. We report a case of a reverse anterolateral thigh (ALT) flap used to revise a long below-knee amputation stump. Previous reports in the literature attest to the versatility of the reverse ALT to cover defects around the knee and proximal tibia, but to our knowledge, this is the first report of a reverse ALT reaching to the mid-tibial level. Wolters Kluwer Health 2014-01-06 /pmc/articles/PMC4174108/ /pubmed/25289282 http://dx.doi.org/10.1097/GOX.0000000000000030 Text en Copyright © 2013 The Authors. Published by Lippincott Williams & Wilkins on behalf of The American Society of Plastic Surgeons. PRS Global Open is a publication of the American Society of Plastic Surgeons. http://creativecommons.org/licenses/by-nc-nd/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivitives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Ideas and Innovations
Sadigh, Parviz Lionel
Wu, Cheng-Jung
Shih, Hsiang-Shun
Jeng, Seng-Feng
Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level
title Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level
title_full Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level
title_fullStr Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level
title_full_unstemmed Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level
title_short Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level
title_sort reverse anterolateral thigh flap to revise a below-knee amputation stump at the mid-tibial level
topic Ideas and Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174108/
https://www.ncbi.nlm.nih.gov/pubmed/25289282
http://dx.doi.org/10.1097/GOX.0000000000000030
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