Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Hand replantation using loupe magnification in a resource constrained environment: Case report.

JPRAS open·2020

Same author

Anthropometrics in preoperative prediction of resection weight in reduction mammaplasty: Is it really accurate?

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2018

Same author

Surgical anatomy of reduction mammaplasty: a historical perspective and current concepts.

South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie·2017

Same author

Pedicle Temporalis Fascial Flap with Axial Scalp Flap Obviates Need of Free Flap in Extensive Scalp Wound.

Case reports in surgery·2017

Same author

OUTCOME OF FOAM VERSUS GAUZE DRESSINGS IN NEGATIVE PRESSURE WOUND THERAPY FOR THE MANAGEMENT OF ACUTE TRAUMATIC WOUNDS WITH SOFT TISSUE LOSS AT KENYATTA NATIONAL HOSPITAL.

East African medical journal·2016

Same author

NEGATIVE PRESSURE WOUND THERAPY (NPWT) FOR THE MANAGEMENT OF LAPAROSTOMY WOUNDS: CASE SERIES.

East African medical journal·2016

Search research articles

Related Experiment Video

Updated: Dec 26, 2025

Engineered Vascularized Muscle Flap

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

VRAM flap for an above knee amputation stump.

A O Wamalwa¹, S O Khainga²

¹Plastic Surgeon, Plastic Surgery & Burns Unit, Kenyatta National Hospital, P.O. Box 2572-00202, Nairobi, Kenya.

|March 12, 2020

Summary

The pedicled vertical rectus abdominis myocutaneous (VRAM) flap offers a viable solution for reconstructing above-knee amputation (AKA) stumps. This flap provides essential soft tissue coverage, potentially avoiding more extensive surgical procedures.

Keywords:

Coverage of AKA stump Short above knee amputation stump Utility of VRAM VRAM flap

More Related Videos

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Related Experiment Videos

Last Updated: Dec 26, 2025

Engineered Vascularized Muscle Flap

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Area of Science:

Reconstructive Surgery
Plastic Surgery
Trauma Surgery

Background:

The pedicled vertical rectus abdominis myocutaneous (VRAM) flap is commonly used for groin, perineal, and thigh defects.
Its application for above-knee amputation (AKA) stump coverage is rarely reported.

Observation:

A 36-year-old male patient with a traumatic AKA stump secondary to an improvised explosive device (IED) injury underwent debridement.
An ipsilateral pedicled VRAM flap was employed for soft tissue reconstruction of the AKA stump.

Findings:

The VRAM flap successfully provided padded soft tissue coverage for the AKA stump.
This approach preserved 6 cm of bone length below the greater trochanter.
The procedure successfully avoided the need for a hip disarticulation or a free flap reconstruction.

Implications:

The pedicled VRAM flap represents a valuable reconstructive option for complex AKA stumps.
This technique can help maintain residual limb length and function, improving patient outcomes.
Further investigation into the utility and considerations of VRAM flaps in AKA stump reconstruction is warranted.