VRAM flap for an above knee amputation stump.
Coverage of AKA stump
Short above knee amputation stump
Utility of VRAM
VRAM flap
Journal
JPRAS open
ISSN: 2352-5878
Titre abrégé: JPRAS Open
Pays: Netherlands
ID NLM: 101680420
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
08
09
2019
accepted:
07
11
2019
entrez:
12
3
2020
pubmed:
12
3
2020
medline:
12
3
2020
Statut:
epublish
Résumé
Although routinely utilized in reconstruction of groin, perineal and thigh defects, the pedicled vertical rectus abdominis myocutaneous (VRAM) flap has only once been previously reported for coverage of above knee amputation (AKA) stumps. A 36 year old man sustained a traumatic above knee amputation after stepping on an improvised explosive device (IED). Following several sessions of debridement, an ipsilateral pedicled VRAM flap was utilized to provide padded soft tissue coverage and maintain bone length (6 cm below the greater trochanter), avoiding both a debilitating hip disarticulation and a need for a free flap. We describe this procedure, report the outcomes and discuss considerations for utilizing this flap.
Identifiants
pubmed: 32158900
doi: 10.1016/j.jpra.2019.11.002
pii: S2352-5878(19)30045-2
pmc: PMC7061674
doi:
Types de publication
Case Reports
Langues
eng
Pagination
11-18Informations de copyright
© 2019 The Author(s).
Déclaration de conflit d'intérêts
None.
Références
Plast Reconstr Surg. 2010 Nov;126(5):1573-80
pubmed: 20639803
Arch Plast Surg. 2014 Sep;41(5):556-61
pubmed: 25276649
Plast Reconstr Surg. 2011 Aug;128(2):447-58
pubmed: 21788836
Arch Phys Med Rehabil. 1983 Jul;64(7):300-3
pubmed: 6860105
Turk J Med Sci. 2017 Jun 12;47(3):883-890
pubmed: 28618738
Plast Reconstr Surg. 2016 May;137(5):1602-13
pubmed: 26796372
Plast Reconstr Surg. 2004 Aug;114(2):367-73
pubmed: 15277801
Ann R Coll Surg Engl. 2013 Apr;95(3):226-7
pubmed: 23827301
Plast Reconstr Surg. 1983 Dec;72(6):882-6
pubmed: 6647612
Plast Reconstr Surg. 2008 Jul;122(1):171-7
pubmed: 18594402
Ulus Travma Acil Cerrahi Derg. 2014 Nov;20(6):443-51
pubmed: 25541925
J Plast Reconstr Aesthet Surg. 2013 Dec;66(12):1717-24
pubmed: 23916387