Publication details
Postamputation femur reconstruction with an autologous vascularized tibia bone graft
| Authors | |
|---|---|
| Year of publication | 2019 |
| Type | Article in Periodical |
| Magazine / Source | MICROSURGERY |
| MU Faculty or unit | |
| Citation | |
| Web | http://dx.doi.org/10.1002/micr.30441 |
| Doi | http://dx.doi.org/10.1002/micr.30441 |
| Keywords | Postamputation femur reconstruction; autologous vascularized tibia bone graft |
| Description | The consequences of battlefield injuries, especially lower limb trauma,sit among the most challenging operations in reconstructive surgery,and in this regard autologous vascularized bone graft has been gainingin popularity. We present the“free tibia flap,”which is one of the lessfrequently employed methods of choice in bone reconstruction. Wedescribe in detail the successful surgical technique involved in a vas-cularized tibial graft utilized to treat osteomyelitis as a result of acutefoot amputation (Doi et al., 1995).We present a case of a 26-year old female patient from Iraq waspresented to our department with a fistula at the lateral aspect of theright thigh. Patient suffered a blast injury as a result of an explodingbomb hidden in a car by ISIS in Baghdad in 2014. Primary surgical inter-vention was undertaken in a US military hospital. Due to the extent ofthe injury in terms of massive tissue damage, above-ankle amputationwas necessary, aligned with osteosynthesis of the right femur. Thepostoperative time has been complicated by prolonged healing and theinability to load the limb fully (in tolal longer than one and half-year). |