KEMPNÝ, Tomáš, Jakub HOLOUBEK, Ahmed ABDELKARIM, Břetislav LIPOVÝ and Martin KNOZ. Postamputation femur reconstruction with an autologous vascularized tibia bone graft. MICROSURGERY. HOBOKEN: WILEY, 2019, vol. 39, No 5, p. 476-477. ISSN 0738-1085. Available from: https://dx.doi.org/10.1002/micr.30441.
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Basic information
Original name Postamputation femur reconstruction with an autologous vascularized tibia bone graft
Authors KEMPNÝ, Tomáš (203 Czech Republic), Jakub HOLOUBEK (203 Czech Republic, guarantor, belonging to the institution), Ahmed ABDELKARIM (40 Austria), Břetislav LIPOVÝ (203 Czech Republic, belonging to the institution) and Martin KNOZ (203 Czech Republic, belonging to the institution).
Edition MICROSURGERY, HOBOKEN, WILEY, 2019, 0738-1085.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.996
RIV identification code RIV/00216224:14110/19:00112592
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1002/micr.30441
UT WoS 000475338300014
Keywords in English Postamputation femur reconstruction; autologous vascularized tibia bone graft
Tags 14110229, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 8/3/2021 08:08.
Abstract
The consequences of battlefield injuries, especially lower limb trauma,sit among the most challenging operations in reconstructive surgery,and in this regard autologous vascularized bone graft has been gainingin popularity. We present the“free tibia flap,”which is one of the lessfrequently employed methods of choice in bone reconstruction. Wedescribe in detail the successful surgical technique involved in a vas-cularized tibial graft utilized to treat osteomyelitis as a result of acutefoot amputation (Doi et al., 1995).We present a case of a 26-year old female patient from Iraq waspresented to our department with a fistula at the lateral aspect of theright thigh. Patient suffered a blast injury as a result of an explodingbomb hidden in a car by ISIS in Baghdad in 2014. Primary surgical inter-vention was undertaken in a US military hospital. Due to the extent ofthe injury in terms of massive tissue damage, above-ankle amputationwas necessary, aligned with osteosynthesis of the right femur. Thepostoperative time has been complicated by prolonged healing and theinability to load the limb fully (in tolal longer than one and half-year).
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