Abstract
A series of microsurgical free flap reconstructions to amputation stumps of the upper as well as the lower extremities was reviewed in 7 male and 2 female patients. Indications included preservation of length after trauma in 6 patients and cure of local infection in 2 patients. In 1 patient an extensive defect after resection of a recurrent shoulder sarcoma required use of a complete arm fillet free flap for tumor reconstruction. Microvascular free flaps used included four scapular flaps, two fillet flaps from the amputated extremity, one anterolateral thigh flap, and one lateral arm flap. Seven of 9 patients were fitted with a prosthesis and underwent occupational therapy resulting in ambulatory and improved functional status. Microvascular reconstruction is indicated in emergency settings as well as for elective reconstruction of amputation sites. Using uninjured "spare parts" of the amputated extremity should be considered. Elective reconstruction is performed preferably with free flaps based on the subscapular vascular system.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 167-172 |
| Number of pages | 6 |
| Journal | Annals of Plastic Surgery |
| Volume | 48 |
| Issue number | 2 |
| State | Published - 2002 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Microsurgical free flap transfer to amputation sites : Indications and results. / Erdmann, Detlev; Sundin, Burton M.; Yasui, Koji; Wong, Michael S; Levin, L. Scott.
In: Annals of Plastic Surgery, Vol. 48, No. 2, 2002, p. 167-172.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Microsurgical free flap transfer to amputation sites
T2 - Indications and results
AU - Erdmann, Detlev
AU - Sundin, Burton M.
AU - Yasui, Koji
AU - Wong, Michael S
AU - Levin, L. Scott
PY - 2002
Y1 - 2002
N2 - A series of microsurgical free flap reconstructions to amputation stumps of the upper as well as the lower extremities was reviewed in 7 male and 2 female patients. Indications included preservation of length after trauma in 6 patients and cure of local infection in 2 patients. In 1 patient an extensive defect after resection of a recurrent shoulder sarcoma required use of a complete arm fillet free flap for tumor reconstruction. Microvascular free flaps used included four scapular flaps, two fillet flaps from the amputated extremity, one anterolateral thigh flap, and one lateral arm flap. Seven of 9 patients were fitted with a prosthesis and underwent occupational therapy resulting in ambulatory and improved functional status. Microvascular reconstruction is indicated in emergency settings as well as for elective reconstruction of amputation sites. Using uninjured "spare parts" of the amputated extremity should be considered. Elective reconstruction is performed preferably with free flaps based on the subscapular vascular system.
AB - A series of microsurgical free flap reconstructions to amputation stumps of the upper as well as the lower extremities was reviewed in 7 male and 2 female patients. Indications included preservation of length after trauma in 6 patients and cure of local infection in 2 patients. In 1 patient an extensive defect after resection of a recurrent shoulder sarcoma required use of a complete arm fillet free flap for tumor reconstruction. Microvascular free flaps used included four scapular flaps, two fillet flaps from the amputated extremity, one anterolateral thigh flap, and one lateral arm flap. Seven of 9 patients were fitted with a prosthesis and underwent occupational therapy resulting in ambulatory and improved functional status. Microvascular reconstruction is indicated in emergency settings as well as for elective reconstruction of amputation sites. Using uninjured "spare parts" of the amputated extremity should be considered. Elective reconstruction is performed preferably with free flaps based on the subscapular vascular system.
UR - http://www.scopus.com/inward/record.url?scp=0036159562&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036159562&partnerID=8YFLogxK
M3 - Article
C2 - 11910222
AN - SCOPUS:0036159562
VL - 48
SP - 167
EP - 172
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 2
ER -