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Multiligamentary Reconstruction in a Below-Knee Amputation Patient
María Tuca1,2, Tomás Pineda3, Ignacio Valderrama1
1Mutual de Seguridad, Santiago, Chile.
Multiligament injuries in below-knee amputees are underdiagnosed but treatable. Prompt diagnosis and tibiofibular fixation with reconstruction yield good functional outcomes for transtibial amputation patients.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Trauma Management
Background:
- Multiligament injuries in patients with below-knee amputation present diagnostic and therapeutic challenges.
- The incidence of these injuries is unknown, leading to underdiagnosis and delayed treatment.
Observation:
- A case report details a patient with a left transtibial amputation experiencing a multiligament injury during physiotherapy.
- The injury was diagnosed following a severe crushing trauma to the ipsilateral lower limb.
Findings:
- The patient underwent successful tibiofibular fixation and multiligament reconstruction.
- Good functional results were achieved post-operatively.
Implications:
- Ligament instability should be suspected in amputees, even during rehabilitation.
- Early diagnosis and appropriate surgical intervention are crucial for optimal functional recovery in these complex cases.
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