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

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

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.
Further Information

Publication History

Publication Date:
01 April 2020 (online)

  

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.