| Autor: |
Livani B; Rua Ana Zorzetto Favaro 18, Residencial Paineiras, Bairro Betel, São Paulo, 13140-000, Brazil, brunolivani@hotmail.com., Castro G, Filho JR, Morgatho TR, Mongon ML, Belangero WD, Davitt M, Carvalho JA |
| Jazyk: |
angličtina |
| Zdroj: |
Strategies in trauma and limb reconstruction [Strategies Trauma Limb Reconstr] 2011 Aug; Vol. 6 (2), pp. 91-6. Date of Electronic Publication: 2011 Jul 26. |
| DOI: |
10.1007/s11751-011-0118-z |
| Abstrakt: |
Despite modern reconstruction techniques and replantation, the preservation of a severely traumatised limb, or even a limb affected by a congenital malformation, usually gives poorer functional results compared with amputation and prosthetisation. The aim of this study was to describe a hind foot (including the calcaneum and fat pad) sensate flap with a surface that allows full terminal weight bearing in transtibial amputations in adults. Between June 2007 and September 2008, eight patients underwent leg amputations with a sensate composite calcaneal flap reconstruction of the stump. Patients consisted of four men and four women with a mean age of 46.5 (26-66) years. All amputations were unilateral. The mean follow-up was 28.3 (25-42) months. There were no complications. Calcaneum tibial fusion was observed in all patients in a mean time of 3.5 (3-4) months. A below-knee prosthesis was adapted at 16 weeks postoperatively in all cases, and no need for stump revision occurred in this series during the entire follow-up period. A transtibial amputation covered with a sensate plantar flap preserving the calcaneum was proposed. In theory, the anatomic structures spared in this technique provide a strong, full, weight-bearing terminal surface of the stump that will last a lifetime. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
Full text from SpringerLink