Case 57: An Initially Successful Lengthening of a Traumatic Below Knee Amputation Stump by Ilizarov Technique with Subsequent Failure Due to Soft Tissue Conditions

2015 ◽  
pp. 379-383
Author(s):  
Peter M. van Roermund
Keyword(s):  
Soft Tissue ◽  
Ilizarov Technique ◽  
Knee Amputation ◽  
Amputation Stump ◽  
Subsequent Failure

scholarly journals Secondary reconstruction of below knee amputation stump with free anterolateral thigh flap

2010 ◽  
Vol 43 (01) ◽  
pp. 108-110
Author(s):  
Dinesh Kadam
Keyword(s):  
Soft Tissue ◽  
Vastus Lateralis ◽  
Pressure Effects ◽  
Tissue Loss ◽  
Anterolateral Thigh Flap ◽  
Vastus Lateralis Muscle ◽  
Knee Amputation ◽  
Amputation Stump ◽  
Anterolateral Thigh ◽  
Soft Tissue Loss

ABSTRACTBelow knee stump preservation reduces ambulatory energy expenditure and improves the quality of life. Reconstruction of soft tissue loss around the stump is a challenging task. Below knee stump reconstruction demands stable skin with sufficient soft tissue to allow weigh bearing. Microsurgical tissue transfer is increasingly being used as a salvage option. Anterolateral thigh flap with additional vastus lateralis muscle provides extra cushioning effect. We report two cases of amputation below knee successfully salvaged. The anterolteral flap with abundant tissue and stable skin offers a reliable option for cover. Two patients with below knee amputation were reconstructed secondarily. After 6 to 20 months of follow -up, stumps showed no signs of pressure effects. Patients are able to bear 50-70 hours of weight per week.

scholarly journals Lengthening of a below knee amputation stump with Ilizarov technique in a patient with a mangled leg

2019 ◽  
Vol 22 (6) ◽  
pp. 364-367 ◽  
Author(s):  
Dong Hao Toon ◽  
Suheal Ali Khan ◽  
Kevin Ho Yin Wong
Keyword(s):  
Ilizarov Technique ◽  
Knee Amputation ◽  
Amputation Stump

scholarly journals Lengthening of an amputation stump by the Ilizarov technique

1997 ◽  
Vol 21 (4) ◽  
pp. 274-276 ◽  
Author(s):  
H. W. Park ◽  
J. S. Jahng ◽  
S. B. Hahn ◽  
D. E. Shin
Keyword(s):  
Ilizarov Technique ◽  
Amputation Stump

Amputation Stump Lengthening With the Ilizarov Technique

1990 ◽  
Vol &NA; (256) ◽  
pp. 76???79 ◽  
Author(s):  
JOHN C. ELDRIDGE ◽  
PETER F. ARMSTRONG ◽  
J. IVAN KRAJBICH
Keyword(s):  
Ilizarov Technique ◽  
Amputation Stump

Creation of an Above-the-Knee Amputation Stump After Hip Disarticulation for Severe Periprosthetic Infection and Fracture

2005 ◽  
Vol 87 (2) ◽  
pp. 410-413 ◽  
Author(s):  
Friedrich Bottner ◽  
Christian Götze ◽  
Armin Koller ◽  
Jörn Steinbeck ◽  
Winfried Winkelmann ◽  
...  
Keyword(s):  
Periprosthetic Infection ◽  
Knee Amputation ◽  
Amputation Stump

scholarly journals Bone Transport for Treatment of Traumatic Composite Tibial Bone and Soft Tissue Defects: Any Specific Needs besides the Ilizarov Technique?

2020 ◽  
Vol 2020 ◽  
pp. 1-13 ◽  
Author(s):  
Runguang Li ◽  
Guozheng Zhu ◽  
Chaojie Chen ◽  
Yirong Chen ◽  
Gaohong Ren
Keyword(s):  
Soft Tissue ◽  
Deep Infection ◽  
Bone Transport ◽  
Fixation Time ◽  
Ilizarov Technique ◽  
Soft Tissue Defects ◽  
Flap Surgery ◽  
Tibial Bone ◽  
Tissue Defects

Objective. To evaluate the surgical efficacy of bone transport (Ilizarov technique) plus “shortening-lengthening,” “flap surgery,” and “open bone transport” as individualized treatments for traumatic composite tibial bone and soft tissue defects. Methods. We retrospectively analyzed sixty-eight cases (mean age: 35.69 years, (range, 16–65)) treated from July 2014 to June 2017, including 29 middle, 18 distal, and 21 proximal tibial bone defects (4–18 cm, mean: 7.97 cm) with soft tissue defects (2.5 cm × 4.0 cm to 30.0 cm × 35.0 cm after debridement). We adopted the bone transport external fixator to fix the fracture after debriding the defect parts. In the meantime, we adopted the “shortening-lengthening technique,” “flap surgery,” and “open bone transport” as individualized treatment based on the location, range, and severity of the composite tibial bone and soft tissue defects. Postoperative follow-up was carried out. Surgical efficacy was assessed based on (1) wound healing; (2) bone defect healing rate; (3) external fixation time and index; (4) incidence/recurrence of deep infection; (5) postoperative complications; and (6) Association for the Study and Application of the Methods of Ilizarov (ASAMI) score. Results. The mean duration from injury to reconstruction was 22 days (4–80 d), and the mean postoperative follow-up period was 30.8 months (18–54 m). After the repair and reconstruction, 2 open bone transport patients required infected bone removal first before continuing the bone transport treatment. No deep infection (osteomyelitis) occurred or recurred in the remaining patients, and no secondary debridement was required. Some patients had complications after surgery. All the postoperative complications, including flap venous crisis, nail channel reaction, bone nonunion, mechanical axis deviation, and refracture, were improved or alleviated. External fixation time was 12.5 ± 3.41 months, and the index was 1.63 ± 0.44. According to the ASAMI score, 76.47% of the outcomes were good/excellent. Conclusion. The Ilizarov technique yields satisfactory efficacy for composite tibial bone and soft tissue defects when combined with “shortening-lengthening technique,” “flap surgery,” and “open bone transport” with appropriate individualized treatment strategies.

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