Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap

Sinem Saritas; Birgitte Jul Kiil; Mille Sværdborg

doi:10.1097/GOX.0000000000005195

Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap

Sinem Saritas^*, Birgitte Jul Kiil, Mille Sværdborg

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin - Plastik- og Brystkirurgi

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

Summary: Degloving traumatic lower extremity injuries can lead to an above-knee amputation with decreased functional capacity compared with below-knee amputation. The unique properties of the deep inferior epigastric artery perforator flap providing a substantial amount of skin and subcutaneous tissue combined with reliability and low donor-site morbidity makes the flap ideal for coverage of below-knee amputation stumps when soft tissue is required. A bipedicled four-zone deep inferior epigastric artery perforator flap with a skin area of 13 × 33 cm was used as coverage of a degloved lower leg amputation stump, in a 27-year-old woman with a left-sided Gustillo type 3B comminute diaphyseal tibial fractur and major degloving injury. Hereby, above-knee amputation was avoided. Ten months postoperatively the patient had achieved full prosthetic function.

Originalsprog	Engelsk
Tidsskrift	Plastic and Reconstructive Surgery - Global Open
Vol/bind	11
Nummer	8
Sider (fra-til)	E5195
ISSN	2169-7574
DOI	https://doi.org/10.1097/GOX.0000000000005195
Status	Udgivet - aug. 2023

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10.1097/GOX.0000000000005195

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@article{fac8e79897ae46edb1ea000eb8b73bec,

title = "Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap",

abstract = "Summary: Degloving traumatic lower extremity injuries can lead to an above-knee amputation with decreased functional capacity compared with below-knee amputation. The unique properties of the deep inferior epigastric artery perforator flap providing a substantial amount of skin and subcutaneous tissue combined with reliability and low donor-site morbidity makes the flap ideal for coverage of below-knee amputation stumps when soft tissue is required. A bipedicled four-zone deep inferior epigastric artery perforator flap with a skin area of 13 × 33 cm was used as coverage of a degloved lower leg amputation stump, in a 27-year-old woman with a left-sided Gustillo type 3B comminute diaphyseal tibial fractur and major degloving injury. Hereby, above-knee amputation was avoided. Ten months postoperatively the patient had achieved full prosthetic function.",

author = "Sinem Saritas and {Jul Kiil}, Birgitte and Mille Sv{\ae}rdborg",

year = "2023",

month = aug,

doi = "10.1097/GOX.0000000000005195",

language = "English",

volume = "11",

pages = "E5195",

journal = "Plastic and Reconstructive Surgery - Global Open",

issn = "2169-7574",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "8",

}

Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap. / Saritas, Sinem; Jul Kiil, Birgitte; Sværdborg, Mille.
I: Plastic and Reconstructive Surgery - Global Open, Bind 11, Nr. 8, 08.2023, s. E5195.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap

AU - Saritas, Sinem

AU - Jul Kiil, Birgitte

AU - Sværdborg, Mille

PY - 2023/8

Y1 - 2023/8

N2 - Summary: Degloving traumatic lower extremity injuries can lead to an above-knee amputation with decreased functional capacity compared with below-knee amputation. The unique properties of the deep inferior epigastric artery perforator flap providing a substantial amount of skin and subcutaneous tissue combined with reliability and low donor-site morbidity makes the flap ideal for coverage of below-knee amputation stumps when soft tissue is required. A bipedicled four-zone deep inferior epigastric artery perforator flap with a skin area of 13 × 33 cm was used as coverage of a degloved lower leg amputation stump, in a 27-year-old woman with a left-sided Gustillo type 3B comminute diaphyseal tibial fractur and major degloving injury. Hereby, above-knee amputation was avoided. Ten months postoperatively the patient had achieved full prosthetic function.

AB - Summary: Degloving traumatic lower extremity injuries can lead to an above-knee amputation with decreased functional capacity compared with below-knee amputation. The unique properties of the deep inferior epigastric artery perforator flap providing a substantial amount of skin and subcutaneous tissue combined with reliability and low donor-site morbidity makes the flap ideal for coverage of below-knee amputation stumps when soft tissue is required. A bipedicled four-zone deep inferior epigastric artery perforator flap with a skin area of 13 × 33 cm was used as coverage of a degloved lower leg amputation stump, in a 27-year-old woman with a left-sided Gustillo type 3B comminute diaphyseal tibial fractur and major degloving injury. Hereby, above-knee amputation was avoided. Ten months postoperatively the patient had achieved full prosthetic function.

U2 - 10.1097/GOX.0000000000005195

DO - 10.1097/GOX.0000000000005195

M3 - Journal article

C2 - 37583396

AN - SCOPUS:85168499443

SN - 2169-7574

VL - 11

SP - E5195

JO - Plastic and Reconstructive Surgery - Global Open

JF - Plastic and Reconstructive Surgery - Global Open

IS - 8

ER -

Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap

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