Salvage of a Lower Extremity by Microsurgical Transfer of Tibial Bone From the Contralateral Extremity Traumatically Amputated at the Ankle Level
The authors present a case of free vascularized transfer of the tibial bone as an osteomyocutaneous flap based on the posterior tibial vessels. A 42-year-old man presented with severe crush injury to bilateral legs. The left tibial bone and soft tissue defect required reconstruction with an osteomyo...
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| Veröffentlicht in: | Annals of plastic surgery 2009-10, Vol.63 (4), p.389-392 |
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| container_title | Annals of plastic surgery |
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| creator | AKYUREK, Mustafa FUDEM, Gary LECLAIR, Walter BABBITT, Russell DUNN, Raymond M |
| description | The authors present a case of free vascularized transfer of the tibial bone as an osteomyocutaneous flap based on the posterior tibial vessels. A 42-year-old man presented with severe crush injury to bilateral legs. The left tibial bone and soft tissue defect required reconstruction with an osteomyocutaneous free flap. Since the contralateral leg was traumatically amputated at the level of the ankle, a decision was made to harvest a free tibial osteomyocutaneous flap with below-knee-amputation completed. The transfer was achieved successfully with complete survival of the flap and bony union. This report describes the technical and healing aspects of such a unique transfer which may rarely be indicated. |
| doi_str_mv | 10.1097/SAP.0b013e31819537c9 |
| format | Article |
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A 42-year-old man presented with severe crush injury to bilateral legs. The left tibial bone and soft tissue defect required reconstruction with an osteomyocutaneous free flap. Since the contralateral leg was traumatically amputated at the level of the ankle, a decision was made to harvest a free tibial osteomyocutaneous flap with below-knee-amputation completed. The transfer was achieved successfully with complete survival of the flap and bony union. 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A 42-year-old man presented with severe crush injury to bilateral legs. The left tibial bone and soft tissue defect required reconstruction with an osteomyocutaneous free flap. Since the contralateral leg was traumatically amputated at the level of the ankle, a decision was made to harvest a free tibial osteomyocutaneous flap with below-knee-amputation completed. The transfer was achieved successfully with complete survival of the flap and bony union. This report describes the technical and healing aspects of such a unique transfer which may rarely be indicated.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Amputation, Traumatic - surgery</subject><subject>Ankle - surgery</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Follow-Up Studies</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Leg Injuries - pathology</subject><subject>Leg Injuries - surgery</subject><subject>Lower Extremity - injuries</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microsurgery - methods</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Regional Blood Flow</subject><subject>Salvage Therapy</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps - blood supply</subject><subject>Tibia - blood supply</subject><subject>Tibia - surgery</subject><subject>Tibia - transplantation</subject><subject>Tissue and Organ Harvesting</subject><subject>Treatment Outcome</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUFv1DAQhS0EokvhHyDkC-opxZNJ7OS4rFpAWgRSl3Pk2OMScJLFdgr7M_jHeOkKEJcZafS9N9J7jD0HcQmiVa9u1h8vRS8ACaGBtkZl2gdsBTXKApVoHrKVgKoplKjwjD2J8YsQUDaVfMzOoFVKKAEr9vNG-zt9S3x2XPPt_J0Cv_qRAo1DOvD-wN8PJsxxCbeD0Z7vgp6iy0zGd0M_5NPreSJ-HeaRp8_EN_OUgvY6UZ7_OGXhMup0NPEHvh73S8qM5Tr9lq2nr574lu7IP2WPnPaRnp32Oft0fbXbvC22H96826y3hUGUqUCnSmUk1FYbtChV78q2sdiWTtQVYt2QU1oYa5XQ0kFja9NXACU6Zw0AnrOLe999mL8tFFM3DtGQ93qieYmdyh5tI6XIZHVPHpOIgVy3D8Oow6ED0R276HIX3f9dZNmL04OlH8n-FZ3Cz8DLE6BjzsXlbM0Q_3AltLKCssJfZ2eUvQ</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>AKYUREK, Mustafa</creator><creator>FUDEM, Gary</creator><creator>LECLAIR, Walter</creator><creator>BABBITT, Russell</creator><creator>DUNN, Raymond M</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091001</creationdate><title>Salvage of a Lower Extremity by Microsurgical Transfer of Tibial Bone From the Contralateral Extremity Traumatically Amputated at the Ankle Level</title><author>AKYUREK, Mustafa ; FUDEM, Gary ; LECLAIR, Walter ; BABBITT, Russell ; DUNN, Raymond M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-3f727c615dac3d367bf298d392f0543358ef7a0cdd70a6f18d5cb41123ffdc113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidents, Traffic</topic><topic>Adult</topic><topic>Amputation, Traumatic - surgery</topic><topic>Ankle - surgery</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation - methods</topic><topic>Follow-Up Studies</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Leg Injuries - pathology</topic><topic>Leg Injuries - surgery</topic><topic>Lower Extremity - injuries</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microsurgery - methods</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Regional Blood Flow</topic><topic>Salvage Therapy</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - blood supply</topic><topic>Tibia - blood supply</topic><topic>Tibia - surgery</topic><topic>Tibia - transplantation</topic><topic>Tissue and Organ Harvesting</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AKYUREK, Mustafa</creatorcontrib><creatorcontrib>FUDEM, Gary</creatorcontrib><creatorcontrib>LECLAIR, Walter</creatorcontrib><creatorcontrib>BABBITT, Russell</creatorcontrib><creatorcontrib>DUNN, Raymond M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AKYUREK, Mustafa</au><au>FUDEM, Gary</au><au>LECLAIR, Walter</au><au>BABBITT, Russell</au><au>DUNN, Raymond M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Salvage of a Lower Extremity by Microsurgical Transfer of Tibial Bone From the Contralateral Extremity Traumatically Amputated at the Ankle Level</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>63</volume><issue>4</issue><spage>389</spage><epage>392</epage><pages>389-392</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><coden>APCSD4</coden><abstract>The authors present a case of free vascularized transfer of the tibial bone as an osteomyocutaneous flap based on the posterior tibial vessels. 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| ispartof | Annals of plastic surgery, 2009-10, Vol.63 (4), p.389-392 |
| issn | 0148-7043 1536-3708 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Accidents, Traffic Adult Amputation, Traumatic - surgery Ankle - surgery Biological and medical sciences Bone Transplantation - methods Follow-Up Studies Graft Survival Humans Injury Severity Score Leg Injuries - pathology Leg Injuries - surgery Lower Extremity - injuries Male Medical sciences Microsurgery - methods Reconstructive Surgical Procedures - methods Regional Blood Flow Salvage Therapy Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply Tibia - blood supply Tibia - surgery Tibia - transplantation Tissue and Organ Harvesting Treatment Outcome |
| title | Salvage of a Lower Extremity by Microsurgical Transfer of Tibial Bone From the Contralateral Extremity Traumatically Amputated at the Ankle Level |
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