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Amputation Stump Revision Using a Free Sural Neurocutaneous Perforator Flap
Shengdi Lu1, Chunyang Wang, Wanrun Zhong
1From the Department of Repair and Reconstruction Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Annals of Plastic Surgery
|May 17, 2014
Summary
The free sural neurocutaneous perforator flap successfully reconstructed below-knee amputation stumps in 11 patients. This technique improved stump coverage, aided prosthetic use, and enhanced patient quality of life.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Limb salvage procedures often face challenges with soft tissue defects.
- Severe bone damage with soft tissue loss can necessitate amputation.
- Preserving stump length is crucial for functional ambulation after amputation.
Purpose of the Study:
- To evaluate the efficacy of the sural neurocutaneous perforator flap for below-knee amputation stump revision.
- To assess functional and aesthetic outcomes following this reconstructive technique.
Main Methods:
- Eleven patients with prior below-knee amputations underwent stump revision.
- A free sural neurocutaneous perforator flap was utilized for reconstruction.
- Preoperative and postoperative data were analyzed.
Main Results:
- All 11 free flap reconstructions achieved survival.
- Patients experienced superficial and deep sensory recovery.
- All patients were comfortable with their prostheses, requiring no further surgery.
Conclusions:
- The sural neurocutaneous perforator flap offers stable coverage for amputation stumps.
- This flap aids in early rehabilitation and improves prosthetic fitting, function, and comfort.
- The procedure enhances patients' overall quality of life.
