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...

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Main Authors: Sinem Saritas, MD, Birgitte Jul Kiil, MD, Mille Sværdborg, MD
Format: Article
Language:English
Published: Wolters Kluwer 2023-08-01
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.
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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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AT millesværdborgmd kneesavingamputationbyuseofabipedicledfourzonedeepinferiorepigastricarteryperforatorflap