Which flaps are commonly used in below knee amputations?

In below-knee amputations, the use of skew or Burgess flaps is commonly favored due to their anatomical and functional advantages. These flaps allow for effective closure of the surgical site while providing sufficient skin and soft tissue coverage, which is essential in the maintenance of limb function and the prevention of complications such as wound dehiscence or infection. The Burgess flap technique also takes into consideration the contour of the remaining limb and the important vascular supply, promoting better healing outcomes.

The choice of flap in lower limb amputations hinges on maintaining adequate blood flow and minimizing trauma to surrounding tissues, both of which are priorities in ensuring optimal recovery and prosthetic fitting. The design of skew or Burgess flaps allows surgeons to maintain the integrity of the vascular supply while providing a robust closure mechanism, thereby contributing to successful rehabilitation and mobility for the patient post-surgery.