Gastrocnemius suture myodesis for skew flap amputations.

Tang, A, Massey, I and Bosanquet, DC ORCID: https://orcid.org/0000-0003-2304-0489 2021. Gastrocnemius suture myodesis for skew flap amputations. Annals of The Royal College of Surgeons of England 103 (3) , pp. 1-2. 10.1308/rcsann.2020.7056

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Abstract

Options for performing a below knee amputation include a long posterior flap (LPF), or a skew flap (SF). Recent data suggest that the failure of wound healing occurs equally between these two amputation types, although marginally improved functional outcomes are seen with LPFs.1 Historically, our local limb appliance centre noted that the gastrocnemius frequently ‘fell off’ the tibia of SF amputations (Figure 1). The resultant shape is bulbous in the anterior/posterior plane, which compromises donning of the prosthesis. It also results in excessive movement of the tissues over the tibia, with pressure, pain and skin breakdown.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Royal College of Surgeons of England
ISSN:	0035-8843
Last Modified:	26 Jun 2024 12:45
URI:	https://orca.cardiff.ac.uk/id/eprint/169946

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