Pedicled Sensate Composite Calcaneal Flap to Achieve Full Weight-Bearing Surface in Midshaft Leg Amputations: Case Report

dc.creatorLivani, B
dc.creatorde Castro, GF
dc.creatorTonelli, JR
dc.creatorBelangero, WD
dc.creatorRamos, TM
dc.creatorMongon, M
dc.date2011
dc.dateJAN
dc.date2014-07-30T14:30:58Z
dc.date2015-11-26T16:01:46Z
dc.date2014-07-30T14:30:58Z
dc.date2015-11-26T16:01:46Z
dc.date.accessioned2018-03-28T22:51:17Z
dc.date.available2018-03-28T22:51:17Z
dc.identifierJournal Of Reconstructive Microsurgery. Thieme Medical Publ Inc, v. 27, n. 1, n. 63, n. 66, 2011.
dc.identifier0743-684X
dc.identifier1098-8947
dc.identifierWOS:000285707400009
dc.identifier10.1055/s-0030-1267831
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/59196
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/59196
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1264920
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionOf the possible levels of amputation, transtibial amputations result in functionally excellent outcomes. However, in contrast to hind foot amputations, such as Syme and especially Boyd amputation, acute or late complications related to the amputated stump are frequent with the various described techniques. The aim of this study was to describe a hind foot (including the calcaneum and fat pad) pedicled sensate flap with a surface that allowed full terminal weight-bearing in transtibial amputations in adults. One male patient, 66 years old with schizophrenia and chronic distal tibial osteomyelitis, underwent a leg amputation with sensate composite calcaneal flap construction. The stump was painless and able to bear total terminal weight at 12 weeks. Calcaneum tibial fusion was observed at 12-week postoperative follow-up. A below-knee prosthesis was adapted in 12 weeks, and at the 1-year follow-up, the patient was completely satisfied with the functional performance of his stump. The flap described provides proprioceptive feedback with the best bone and skin to support weight bearing. Another advantage is the possibility to use the same prosthesis commonly used in Boyd or Syme amputation due a longer arm leverage, which also allows full terminal weight-bearing. In the current study, a transtibial amputation covered with a pedicled sensate plantar flap preserving the calcaneum was proposed. In theory, the anatomic structures spared in this technique provide a strong full weight-bearing terminal surface of the stump that will last a lifetime.
dc.descriptiono TEXTO COMPLETO DESTE ARTIGO, ESTARÁ DISPONÍVEL À PARTIR DE AGOSTO DE 2015.
dc.description27
dc.description1
dc.description63
dc.description66
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.languageen
dc.publisherThieme Medical Publ Inc
dc.publisherNew York
dc.publisherEUA
dc.relationJournal Of Reconstructive Microsurgery
dc.relationJ. Reconstr. Microsurg.
dc.rightsembargo
dc.sourceWeb of Science
dc.subjectHeel
dc.subjectextremities
dc.subjectleg
dc.subjectQuality-of-life
dc.subjectBelow-knee Amputation
dc.subjectTranstibial Amputation
dc.subjectTibia
dc.titlePedicled Sensate Composite Calcaneal Flap to Achieve Full Weight-Bearing Surface in Midshaft Leg Amputations: Case Report
dc.typeArtículos de revistas


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