| CASE REPORT |
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| Year : 2019 | Volume
: 4
| Issue : 1 | Page : 55-58 |
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Complex reconstruction following traumatic forequarter amputation
Tara M Barry, Thomas J Herron, Steven M Lorch, David J Ciesla
Department of Surgery, Division of Trauma and Acute Care Surgery, University of South Florida, Tampa, Florida, USA
Correspondence Address:
Tara M Barry
Department of Surgery, Division of Trauma and Acute Care Surgery, University of South Florida, Tampa, Florida
USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jctt.jctt_15_19
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Interscapulothoracic amputation is a radical and morbid procedure used for the management of upper extremity trauma and more commonly for resection of solid tumors. Traumatic forequarter amputation poses a unique challenge for achieving adequate tissue coverage depending on the condition of the muscle and soft tissue of the ipsilateral extremity. We present a case of a 38-year-old construction worker who suffered an almost complete forequarter amputation of his right upper extremity secondary to blunt force trauma from a crane pulley that fell from 60 ft. This is a unique mechanism of injury, as most traumatic forequarter amputations occur as a result of traction injury. Details of the case report including the unique challenges, techniques for tissue salvage, fillet flaps, and chest wall reconstruction are presented.
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