{"title":"膝上内侧肌筋膜皮瓣截肢。","authors":"Wei Wei Wu, Christopher Finkemeier","doi":"10.1097/BOT.0000000000002987","DOIUrl":null,"url":null,"abstract":"<p><strong>Summary: </strong>This is a case of a 62-year-old man with significant peripheral vascular disease who presented with chronic nonhealing full-thickness ulcerations along his right lower leg, now progressed to deep infection with systemic involvement. This review describes an above knee amputation with a medial-based myofasciocutaneous flap, which was chosen due to its dependency on the less-diseased vascular supply from the obturator artery. The anatomic dissection and myodesis technique are methodical and reproducible for all surgeons.</p>","PeriodicalId":16644,"journal":{"name":"Journal of Orthopaedic Trauma","volume":"39 8S","pages":"S15-S16"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Medial-Based Myofasciocutaneous Flap Above Knee Amputation.\",\"authors\":\"Wei Wei Wu, Christopher Finkemeier\",\"doi\":\"10.1097/BOT.0000000000002987\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Summary: </strong>This is a case of a 62-year-old man with significant peripheral vascular disease who presented with chronic nonhealing full-thickness ulcerations along his right lower leg, now progressed to deep infection with systemic involvement. This review describes an above knee amputation with a medial-based myofasciocutaneous flap, which was chosen due to its dependency on the less-diseased vascular supply from the obturator artery. The anatomic dissection and myodesis technique are methodical and reproducible for all surgeons.</p>\",\"PeriodicalId\":16644,\"journal\":{\"name\":\"Journal of Orthopaedic Trauma\",\"volume\":\"39 8S\",\"pages\":\"S15-S16\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Trauma\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/BOT.0000000000002987\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Trauma","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/BOT.0000000000002987","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Summary: This is a case of a 62-year-old man with significant peripheral vascular disease who presented with chronic nonhealing full-thickness ulcerations along his right lower leg, now progressed to deep infection with systemic involvement. This review describes an above knee amputation with a medial-based myofasciocutaneous flap, which was chosen due to its dependency on the less-diseased vascular supply from the obturator artery. The anatomic dissection and myodesis technique are methodical and reproducible for all surgeons.
期刊介绍:
Journal of Orthopaedic Trauma is devoted exclusively to the diagnosis and management of hard and soft tissue trauma, including injuries to bone, muscle, ligament, and tendons, as well as spinal cord injuries. Under the guidance of a distinguished international board of editors, the journal provides the most current information on diagnostic techniques, new and improved surgical instruments and procedures, surgical implants and prosthetic devices, bioplastics and biometals; and physical therapy and rehabilitation.