Functional results of limb salvage in below-knee type III C open fractures or traumatic amputations
Ünal, Mehmet Bekir
Köprülü, Ali Şefik
MetadataShow full item record
CitationParmaksızoğlu, 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-0032-1326735
This 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.