Osteocutaneous turn-up fillet flaps: A spare-parts orthoplastic surgery option for a functional post-traumatic below-knee amputation

This article portrays the authors’ experience with a complex lower limb bone and soft tissue defect, following chronic osteomyelitis pathological fracture, which was managed by multidisciplinary orthoplastic team. The decision for functional amputation versus salvage deemed necessary, enhanced principles of “spare parts” in reconstructive microsurgery. case describes successful use osteocutaneous distal tibia turn-up fillet flap that allowed ‘lowering level amputation’ from through knee to below-knee preserve joint function. We comprehensibly review reports flaps effectively amputation, also applying ‘spare-parts’ surgery explore how these concepts refine approaches when is not possible enhance robust technique modified BKA reconstructions provides sufficient length achieve tough, sensate stump joint.