Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons | Journal CME Article-Journal CME Article: Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons v1 of 5

Journal CME Article: Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons v1 of 5

Video Transcription

Video Summary

The video outlines a surgical technique for the agonist-antagonist mononeural interface procedure during an elective below-knee amputation. Key steps include exposing distal musculotendinous structures, elevating a periosteal flap, and transposing muscles for creating mononeural interfaces. Nerves are tagged for neuroma prevention using the RPNI technique. The anterior tibial vessels are ligated, and the lateral gastrocnemius is mobilized. Agonist-antagonist interfaces are crafted with harvested retinaculum to minimize scarring. Completion involves securing pulley structures, placing a drain and antibiotic powder, and performing soleal myodesis. The process supports postoperative functionality of the constructs.

Keywords

agonist-antagonist mononeural interface

below-knee amputation

RPNI technique

neuroma prevention

soleal myodesis