Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap
Summary:. Degloving traumatic lower extremity injuries can lead to an above-knee amputation with decreased functional capacity compared with below-knee amputation. The unique properties of the deep inferior epigastric artery perforator flap providing a substantial amount of skin and subcutaneous tis...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Wolters Kluwer
2023-08-01
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Series: | Plastic and Reconstructive Surgery, Global Open |
Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005195 |
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author | Sinem Saritas, MD Birgitte Jul Kiil, MD Mille Sværdborg, MD |
author_facet | Sinem Saritas, MD Birgitte Jul Kiil, MD Mille Sværdborg, MD |
author_sort | Sinem Saritas, MD |
collection | DOAJ |
description | Summary:. Degloving traumatic lower extremity injuries can lead to an above-knee amputation with decreased functional capacity compared with below-knee amputation. The unique properties of the deep inferior epigastric artery perforator flap providing a substantial amount of skin and subcutaneous tissue combined with reliability and low donor-site morbidity makes the flap ideal for coverage of below-knee amputation stumps when soft tissue is required. A bipedicled four-zone deep inferior epigastric artery perforator flap with a skin area of 13 × 33 cm was used as coverage of a degloved lower leg amputation stump, in a 27-year-old woman with a left-sided Gustillo type 3B comminute diaphyseal tibial fractur and major degloving injury. Hereby, above-knee amputation was avoided. Ten months postoperatively the patient had achieved full prosthetic function. |
first_indexed | 2024-03-12T12:19:05Z |
format | Article |
id | doaj.art-c32210d7a9a54d6e943410d014bc6d1a |
institution | Directory Open Access Journal |
issn | 2169-7574 |
language | English |
last_indexed | 2024-03-12T12:19:05Z |
publishDate | 2023-08-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | Plastic and Reconstructive Surgery, Global Open |
spelling | doaj.art-c32210d7a9a54d6e943410d014bc6d1a2023-08-30T06:13:50ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-08-01118e519510.1097/GOX.0000000000005195202308000-00033Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator FlapSinem Saritas, MD0Birgitte Jul Kiil, MD1Mille Sværdborg, MD2From the Department of Plastic and Breast Surgery, Aarhus University Hospital, Aarhus, Denmark.From the Department of Plastic and Breast Surgery, Aarhus University Hospital, Aarhus, Denmark.From the Department of Plastic and Breast Surgery, Aarhus University Hospital, Aarhus, Denmark.Summary:. Degloving traumatic lower extremity injuries can lead to an above-knee amputation with decreased functional capacity compared with below-knee amputation. The unique properties of the deep inferior epigastric artery perforator flap providing a substantial amount of skin and subcutaneous tissue combined with reliability and low donor-site morbidity makes the flap ideal for coverage of below-knee amputation stumps when soft tissue is required. A bipedicled four-zone deep inferior epigastric artery perforator flap with a skin area of 13 × 33 cm was used as coverage of a degloved lower leg amputation stump, in a 27-year-old woman with a left-sided Gustillo type 3B comminute diaphyseal tibial fractur and major degloving injury. Hereby, above-knee amputation was avoided. Ten months postoperatively the patient had achieved full prosthetic function.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005195 |
spellingShingle | Sinem Saritas, MD Birgitte Jul Kiil, MD Mille Sværdborg, MD Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap Plastic and Reconstructive Surgery, Global Open |
title | Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap |
title_full | Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap |
title_fullStr | Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap |
title_full_unstemmed | Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap |
title_short | Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap |
title_sort | knee saving amputation by use of a bipedicled four zone deep inferior epigastric artery perforator flap |
url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005195 |
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