Parmaksızoğlu, FatihÜnal, Mehmet BekirCansu, ErenKöprülü, Ali Şefikİnce, YenerYurga, Ebru2020-06-012020-06-012012Parmaksızoğlu, F., Ünal, M. B., Cansu, E., Köprülü, A. Ş., İnce, Y. ve Yurga, E. (2012). Functional results of limb salvage in below-knee type III C open fractures or traumatic amputations. Journal of Reconstructive Microsurgery, 28(9), 607-613. https://dx.doi.org/10.1055/s-0032-13267350743-684Xhttps://hdl.handle.net/20.500.12511/5246https://dx.doi.org/10.1055/s-0032-1326735This study presents the surgical and functional outcomes of below-knee total leg amputation and Gustilo type III C open fracture cases that were considered appropriate for salvage treatment according to a more proactive approach, despite being candidates for amputation according to the current scoring systems. Nineteen patients (21 legs) underwent replantation-revascularization surgery. At least Chen Grade II functional level was the aim. A limb salvage operation was performed in 21 legs in 19 patients (18 male, 1 female). The mean age was 28.5 years (range: 11 to 42 years). Six legs in four patients presented with total amputation, and 15 legs in 15 patients had Gustilo Type III C open fractures. A successful replantation/revascularization was performed in 20 legs, with a Chen Grade I and Grade II functional outcome in 3 and 17 legs, respectively. None of these patients were eligible for salvage operation according to currently used scoring systems. Limb-preserving surgery performed upon the assessment of local and general conditions of the patients with traumatic below-knee amputations or Gustilo Type III C open fractures seems to be a viable therapeutic option that can serve to achieve Chen Grade II functional level in most patients.eninfo:eu-repo/semantics/closedAccessTotal Leg AmputationGustilo Type III C Open FractureLimb SalvageArticle28960761310.1055/s-0032-1326735Q2Q2