Skewflap versus long posterior flap in below-knee amputations: Multicenter trial  Charles Vaughan Ruckley, ChM, FRCSE, Peter Arno Stonebridge, FRCSE, Robin.

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Presentation transcript:

Skewflap versus long posterior flap in below-knee amputations: Multicenter trial  Charles Vaughan Ruckley, ChM, FRCSE, Peter Arno Stonebridge, FRCSE, Robin John Prescott, PhD  Journal of Vascular Surgery  Volume 13, Issue 3, Pages 423-427 (March 1991) DOI: 10.1067/mva.1991.25644 Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Design of skin flaps for skew flap below-knee amputation. (Modified from Robinson K. Vascular surgical techniques. Philadelphia: WB Saunders, 1989.) Journal of Vascular Surgery 1991 13, 423-427DOI: (10.1067/mva.1991.25644) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 A, Skew flap amputation. Gastrocnemius muscle, with deep fascia attached, is narrowed. B, The posterior flap is brought forward. C, The anterior border of the tibia is covered by suturing the posterior flap to deep fascia and periosteum. D, The flaps are closed over a vacuum drain. Note that the suture line does not lie directly in front of the divided bone. (Modified from Robinson K. Vascular surgical techniques. Philadelphia: WB Saunders, 1989.) Journal of Vascular Surgery 1991 13, 423-427DOI: (10.1067/mva.1991.25644) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Analysis of the surgeons who performed the amputations. SR, Senior registrar; SHO, senior house officer. Journal of Vascular Surgery 1991 13, 423-427DOI: (10.1067/mva.1991.25644) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions