Pedicled Sensate Composite Calcaneal Flap to Achieve Full Weight-Bearing Surface in Midshaft Leg Amputations: Case Report

• DOI: 10.1055/s-0030-1267831
• Publication Date: 2010-10-14T03:11:57Z
• Authors: Bruno Livani; Gabriel de Castro; Jose Filho; William Belangero; Tamara Ramos; Mauricio Mongon
• Keywords: Weight-bearing

Of the possible levels of amputation, transtibial amputations result in functionally excellent outcomes. However, contrast to hind foot amputations, such as Syme and especially Boyd acute or late complications related amputated stump are frequent with various described techniques. The aim this study was describe a (including calcaneum fat pad) pedicled sensate flap surface that allowed full terminal weight-bearing adults. One male patient, 66 years old schizophrenia chronic distal tibial osteomyelitis, underwent leg amputation composite calcaneal construction. painless able bear total weight at 12 weeks. Calcaneum fusion observed 12-week postoperative follow-up. A below-knee prosthesis adapted weeks, 1-year follow-up, patient completely satisfied functional performance his stump. provides proprioceptive feedback best bone skin support bearing. Another advantage is possibility use same commonly used due longer arm leverage, which also allows weight-bearing. In current study, covered plantar preserving proposed. theory, anatomic structures spared technique provide strong will last lifetime.