{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:58:26Z","timestamp":1775473106345,"version":"3.50.1"},"reference-count":16,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2021,6,1]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;To investigate rehabilitation outcomes of patients with malformed tibial stumps.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;Observations included 421 patients with residual limb diseases and malformations (extensive inactive scars adhered to&amp;lt;br \/&amp;gt;the bone, excessively long or short stumps, bone filing, osteomyelitis of the stump, muscle attachment to the skin scar, excessive mobility and deviations of the fibula, improper filing). Four hundred and thirty-six (436) reconstructive surgeries were performed. A follow-up period was from 6 months to 15 years. Radiological, ultrasonic, tensometrical, and histological methods were used.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Due to the frequent combination of several malformations and diseases in the same patient, non-free skin grafting with&amp;lt;br \/&amp;gt;displaced dermal-subcutaneous flaps, which cover rather large defects, was widely used. The surgeries were performed simultaneously and allowed for reconstruction without shortening the bone lever stump. Complications in the form of marginal necrosis were obtained in three (0.71%) patients. The improved technique of muscle grafting with the fixation of muscles to the bone provided an elastic stump covering the bone filing. The authors have developed original methods of surgery to create a bone block of the tibia, which make it possible to obtain painless, highly functional stumps using partial support and ensure long-term use of modern prosthesis designs in 100% of cases.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Non-free dermal plasty with cutaneous-subcutaneous flap is the method of choice for closing skin defects on the residual limb. Muscle-bone fixation permits to eliminate some residual limb defects and to form an elastic muscular residual limb with closed bone filaments. Synostosis formation in different ways considerably improves functional quality of the residual limb.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1374-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"479-486","source":"Crossref","is-referenced-by-count":2,"title":["Reamputation stumps below knee"],"prefix":"10.17392","volume":"18","author":[{"given":"Viktor I.","family":"Shevchuk","sequence":"first","affiliation":[{"name":"Research Institute of Rehabilitation of National Pirogov Memorial Medical University","place":["Vinnytsia,Ukraine"],"department":["Scientific Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1388-7910","authenticated-orcid":false,"given":"Yurii O.","family":"Bezsmertnyi","sequence":"additional","affiliation":[{"name":"Research Institute of Rehabilitation of National Pirogov Memorial Medical University","place":["Vinnytsia,Ukraine"],"department":["Scientific Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yankai","family":"Jiang","sequence":"additional","affiliation":[{"name":"Research Institute of Rehabilitation of National Pirogov Memorial Medical University","place":["Vinnytsia,Ukraine"],"department":["Scientific Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halyna V.","family":"Bezsmertna","sequence":"additional","affiliation":[{"name":"Research Institute of Rehabilitation of National Pirogov Memorial Medical University","place":["Vinnytsia,Ukraine"],"department":["Scientific Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetyana V.","family":"Dovgalyuk","sequence":"additional","affiliation":[{"name":"Research Institute of Rehabilitation of National Pirogov Memorial Medical University","place":["Vinnytsia,Ukraine"],"department":["Scientific Department"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"ref1","first-page":"24","article-title":"Prevalence of phantom limb pain, stumppain, and phantom limb sensation among the amputated cancer patients in India: a prospective, observational study","author":"AAhmedA","year":"2017","unstructured":"Ahmed A, Bhatnagar S, Mishra S, Khurana D, Jos-\nhi S, Ahmad SM. Prevalence of phantom limb pain, \nstumppain, and phantom limb sensation among the \namputated cancer patients in India: a prospective, \nobservational study. Indian J Palliat Care 2017; \n23:24-35.","journal-title":"Indian J Palliat Care"},{"key":"ref2","first-page":"439","article-title":"Strategies for prevention of lower limb post-amputationpain: A clinical narrative review","author":"VAhujaV","year":"2018","unstructured":"Ahuja V, Thapa D, Ghai B. Strategies for prevention \nof lower limb post-amputationpain: A clinical narra-\ntive review. J Anaesthesiol Clin Pharmacol 2018; \n34:439-49.","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"ref3","first-page":"779","article-title":"Chronic musculoskeletalpain, phantom sensation, phantom andstumppainin veterans with unilateral below-kneeamputation","author":"MAllamiM","year":"2019","unstructured":"Allami M, Faraji E, Mohammadzadeh F, Soroush \nMR. Chronic musculoskeletalpain, phantom sensa-\ntion, phantom andstumppainin veterans with uni-\nlateral below-kneeamputation. Scand JPain 2019; \n19:779-87.","journal-title":"Scand JPain"},{"issue":"8","key":"ref4","doi-asserted-by":"crossref","first-page":"141","DOI":"10.31640\/JVD.7-8.2018(23)","article-title":"Krovoobrashhenie v kul'te kosti pri razlichnyh sposobah amputacionnoj plastiki (Circulation in stump of bone at various methods of amputation plastics)","author":"YBezsmertnyiY","year":"2018","unstructured":"Bezsmertnyi YO, Shevchuk VI, Bezsmertna HV, \nShevchuk SV. Krovoobrashhenie v kul'te kosti pri \nrazlichnyh sposobah amputacionnoj plastiki (Circu-\nlation in stump of bone at various methods of ampu-\ntation plastics) [in Russian] Likars\u02b9ka Sprava 2018; \n7-8:141-8.","journal-title":"Likars\u02b9ka Sprava"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1117\/122501558full?SSO=1","article-title":"Proc. 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SPIE 10808, Photonics Applicati-\nons in Astronomy, Communications, Industry, and \nHigh-Energy Physics Experiments 2018, 108083H \nhttps:\/\/www.spiedigitallibrary.org\/conference-pro-\nceedings-of-spie\/10808\/108083H\/Information-mo-\ndel-for-the-evaluation-of-the-efficiency-of-osteopla-\nsty\/10.1117\/12.2501558.full?SSO=1 (1 October 2018)"},{"key":"ref6","first-page":"241","article-title":"Systematic review and meta-analysis of the efficacy of perineural local anaesthetic catheters after major lower limb amputation","author":"DBosanquetD","year":"2015","unstructured":"Bosanquet DC, Glasbey JC, Stimpson A, Williams \nIM, Twina CP. Systematic review and meta-analysis \nof the efficacy of perineural local anaesthetic cathe-\nters after major lower limb amputation. Eur J Vasc \nEndovasc Surg 2015; 50:241-9.","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref7","first-page":"147","article-title":"Neuromas and postamputation pain","author":"NBuchN","year":"2020","unstructured":"Buch NS, Qerama E, Brix Finnerup N, Nikolajsen \nL. Neuromas and postamputation pain. Pain 2020; \n161:147-55.","journal-title":"Pain"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"2004","DOI":"10.1093\/pm\/pnz067","article-title":"The impact of surgical amputation and valproic acid on pain and functional trajectory: results from the veterans integrated pain evaluation research (VIPER) randomized, double-blinded placebo-controlled trial","author":"TBuchheitT","year":"2019","unstructured":"Buchheit T, Hsia HJ, Cooter M, Shortell C, Kent M, \nMcDuffie M, Shaw A, Buckenmaier CT, Van de Ven \nT. The impact of surgical amputation and valproic \nacid on pain and functional trajectory: results from \nthe veterans integrated pain evaluation research \n(VIPER) randomized, double-blinded placebo-con-\ntrolled trial. Pain Med 2019; 20:2004-17.","journal-title":"Pain Med"},{"key":"ref9","first-page":"238","article-title":"Targeted muscle reinnervation treats neuroma and phantompainin major limb amputees: a randomized clinical trial","author":"GDumanianG","year":"2019","unstructured":"Dumanian GA, Potter BK, Mioton LM, Ko JH, \nCheesborough JE, Souza JM, Ertl WJ, Tintle SM, \nNanos GP, Valerio IL, Kuiken TA, Apkarian AV, \nPorter K, Jordan SW. Targeted muscle reinnervation \ntreats neuroma and phantompainin major limb am-\nputees: a randomized clinical trial. Ann Surg 2019; \n270:238-46.","journal-title":"Ann Surg"},{"key":"ref10","first-page":"637","article-title":"Percutaneous peripheral nerve stimulation for the treatment of chronic neuropathic postamputation pain: a multicenter, randomized, placebo-controlled trial","author":"CGilmoreC","year":"2019","unstructured":"Gilmore C, Ilfeld B, Rosenow J, Sean Li, Desai M, \nHunter C, Rauck R, Kapural L, Nader A, Mak J, \nCohen S, CrosbyND, Boggs JW. Percutaneous pe-\nripheral nerve stimulation for the treatment of chro-\nnic neuropathic postamputation pain: a multicenter, \nrandomized, placebo-controlled trial. Reg Anesth \nPainMed 2019; 44:637-45.","journal-title":"Reg Anesth PainMed"},{"key":"ref11","first-page":"260","article-title":"Treatment of bone defects in war wounds: retrospective study","author":"PGruborP","year":"2015","unstructured":"Grubor P, Milicevic S, Grubor M, Meccariello L. \nTreatment of bone defects in war wounds: retrospec-\ntive study. Med Arch 2015; 69:260-4","journal-title":"Med Arch"},{"issue":"Suppl 4","key":"ref12","first-page":"30","article-title":"Challenges in the management of floating knee injuries: results of treatment and outcomes of 224 consecutive cases in 10 years","author":"GRolloG","year":"2019","unstructured":"Rollo G, Falzarano G, Ronga M, Bisaccia M, Grubor \nP, Erasmo R, Rocca G, Tom\u00e9-Bermejo F, G\u00f3mez-\nGarrido D, Pichierri P, Rinonapoli G, Meccariello \nL. Challenges in the management of floating knee \ninjuries: results of treatment and outcomes of 224 \nconsecutive cases in 10 years. Injury 2019; 50(Suppl \n4):S30-S38.","journal-title":"Injury"},{"key":"ref13","first-page":"504","article-title":"Medial gastrocnemius muscle flap for the reconstruction of unhealed amputation stumps","author":"BTosunB","year":"2017","unstructured":"Tosun B, Selek O, Gok U, Tosun O. Medial ga-\nstrocnemius muscle flap for the reconstruction of \nunhealed amputation stumps. J Wound Care 2017; \n26:504-7.","journal-title":"J Wound Care"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s11751-015-0240-4","article-title":"Combat-related bridge synostosis versus traditional transtibial amputation: comparison of military-specific outcomes","author":"BPlucknetteB","year":"2016","unstructured":"Plucknette BF, Krueger CA, Rivera JC, Wenke JC. \nCombat-related bridge synostosis versus traditional \ntranstibial amputation: comparison of military-spe-\ncific outcomes. Strategies Trauma Limb Reconstr \n2016; 11:5-11.","journal-title":"Strategies Trauma Limb Reconstr"},{"key":"ref15","first-page":"259","article-title":"Osteomyoplastic Transtibial Amputation: The Ertl technique","author":"BTaylorB","year":"2016","unstructured":"Taylor BC, Poka A. Osteomyoplastic Transtibial \nAmputation: The Ertl technique. J Am Acad Orthop \nSurg 2016; 24:259-65.","journal-title":"J Am Acad Orthop Surg"},{"key":"ref16","article-title":"Amputacja fiziologiczna (Physiological amputation)","author":"MWeissM","year":"1972","unstructured":"Weiss M. Amputacja fiziologiczna (Physiological \namputation) [in Polish] Warszawa: PZWL, 1972."}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/324\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/324\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:44:50Z","timestamp":1775468690000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/368\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,1]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,1]]},"published-print":{"date-parts":[[2021,6,1]]}},"URL":"https:\/\/doi.org\/10.17392\/1374-21","archive":["Internet Archive"],"relation":{},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6,1]]}}}