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Free Flap Reconstruction for Gastrocnemius Muscle Necrosis to Avoid Above-Knee Amputation
Hikaru Watanabe1, Suzuna Ishimoto1, Maiko Inada1
1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Wakayama Medical University, Wakayama, Wakayama, Japan.
Surgical Case Reports
|March 9, 2026
Summary
Below-knee amputation with free flap reconstruction offers a viable solution for limb salvage, preserving knee function and enabling independent ambulation. This approach significantly enhances long-term quality of life for eligible patients.
Area of Science:
- Reconstructive surgery
- Orthopedic surgery
- Microsurgery
Background:
- Preserving the knee joint is crucial for mobility after amputation.
- Adequate muscular coverage and stump shaping are vital for below-knee amputation success.
- Free flap reconstruction is an option when primary muscle coverage is not feasible.
