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Amputation stump salvage using a free forearm flap from the amputated part
Rong-Min Baek1, Seok-chan Eun, Chan-yeong Heo
1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.
Summary
Upper extremity amputations pose unique challenges. Free fillet flaps offer a solution for reconstructing defects from trauma or tumor removal, preserving limb length.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Trauma Surgery
Background:
- Upper extremity amputations present distinct surgical challenges compared to lower extremity amputations.
- The 'spare parts' concept utilizes amputated limb tissues for reconstructing defects.
- Massive upper extremity trauma necessitates innovative reconstructive techniques.
Observation:
- Two cases of massive upper extremity trauma were treated using a free fillet flap.
- Pedicled whole forearm flaps were employed for stump closure and length preservation.
Findings:
- The free fillet flap technique successfully achieved primary stump closure in both cases.
- Preservation of upper arm length was a key outcome of the intervention.
Implications:
- This approach offers a viable reconstructive option for severe upper extremity injuries.
- The 'spare parts' concept can be effectively applied to upper limb reconstruction.
- Further research into free fillet flap applications in upper extremity trauma is warranted.
