VRAM flap for an above knee amputation stump

22 Above - knee Amputation

Use of the Sole Flap to Convert an Above Knee Amputation to a Below Knee Amputation in Trauma.

Dear Editor, An amputation is often a better option in patients with severe lower limb trauma when the prognosis of a limb salvage procedure is not ideal. It also minimises morbidity and mortality.1 The level of amputation is determined by the zone of injury and availability of soft tissue cover beyond the level of bone amputation. This means that patients with severe segmental injuries involvi...

Knee disarticulation versus above-knee amputation.

If below-knee amputation is impossible, knee disarticulation should be considered before above-knee amputation, regardless of age and etiology. Knee disarticulation which leaves the femur and patella untoched offers many advantages. The surgical technique is simple and non-traumatic since no bone or muscle tissue is to be dissected. The thigh muscles are completely preserved and thus there is n...

Skew-flap below-knee amputation.

The success of the long posterior flap in obtaining sound healing at below-knee level is widely recognised in patients with ischaemic disease, and since this method was introduced in 1967 by Burgess and Romano, the number of patients with healing below-knee amputations in ischaemic disease has dramatically increased, and with improved methods of level selection this proportion may increase furt...

Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level

SUMMARY The reconstruction of defects around the knee often poses a challenge due to the limited availability of local soft tissues. Indeed, this same problem is encountered when attempting to revise a below-knee amputation stump. Moreover, due to a paucity of recipient vessels in those who have undergone previous amputation secondary to trauma, free-flap reconstruction is often challenging and...