Microsurgical free flap transfer to amputation sites: Indications and results

Detlev Erdmann, Burton M. Sundin, Koji Yasui, Michael S Wong, L. Scott Levin

Research output: Contribution to journalArticle

33 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)167-172
Number of pages6
JournalAnnals of Plastic Surgery
Volume48
Issue number2
StatePublished - 2002
Externally publishedYes

Fingerprint

Free Tissue Flaps
Amputation
Arm
Extremities
Amputation Stumps
Occupational Therapy
Thigh
Sarcoma
Prostheses and Implants
Blood Vessels
Lower Extremity
Emergencies
Wounds and Injuries
Infection
Neoplasms

ASJC Scopus subject areas

  • Surgery

Cite this

Erdmann, D., Sundin, B. M., Yasui, K., Wong, M. S., & Levin, L. S. (2002). Microsurgical free flap transfer to amputation sites: Indications and results. Annals of Plastic Surgery, 48(2), 167-172.

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 journalArticle

Erdmann, D, Sundin, BM, Yasui, K, Wong, MS & Levin, LS 2002, 'Microsurgical free flap transfer to amputation sites: Indications and results', Annals of Plastic Surgery, vol. 48, no. 2, pp. 167-172.
Erdmann, Detlev ; Sundin, Burton M. ; Yasui, Koji ; Wong, Michael S ; Levin, L. Scott. / Microsurgical free flap transfer to amputation sites : Indications and results. In: Annals of Plastic Surgery. 2002 ; Vol. 48, No. 2. pp. 167-172.
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