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Ann Chir Plast Esthet. 2013 Aug;58(4):342-6. doi: 10.1016/j.anplas.2012.08.004. Epub 2012 Oct 25.

[Transtibial amputation salvage with a cutaneous flap based on posterior tibial perforators].

[Article in French]

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Service de chirurgie plastique, reconstructrice et esthétique, CHU Croix Rousse, 103 Grande rue de la Croix Rousse, Lyon, France.


When performing an amputation of the lower limb, the preservation of the knee joint is important to obtain an optimal functional outcome. Many reconstruction procedures are available to cover the amputation defect in order to preserve a sufficient length of the stump, so a prosthesis could be put in place with the best functional results. Local musculocutaneous flaps or free flaps are conventionally described with their advantages and disadvantages. In this report, we describe our experience with a transtibial amputation and stump covering using a fasciocutaneous flap based on tibial posterior perforators. An extensive tibial bone exposure with only posterior skin was viable. It is an efficient and reliable solution for covering tibial stump without microvascular anastomosis.


Amputation du membre inférieur; Amputation transtibiale; Artère tibiale postérieure; Functional outcome of amputation; Lambeau perforant; Lower-limb amputation; Perforator flaps; Posterior tibial artery; Résultat fonctionnel d’amputation; Transtibial amputation

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