Name: Skew Flap for Below Knee Amputation (Skin Marking for Perfect Stump)
Uploaded: 2024-05-31T00:00:00.0000000
Duration: T00H05M00S
Description: Skew Flap for Below Knee Amputation (Skin Marking for Perfect Stump)

Name: Skew Flap for Below Knee Amputation (Skin Marking for Perfect Stump)

Description: Skew Flap for Below Knee Amputation (Skin Marking for Perfect Stump)

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Duration: T00H05M00S

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Upload Date: 2024-05-31T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
Hello, friends. Today I'm going to show you a short video as how to do your skin marking for a below knee amputation. Normally, most people would do a below knee amputation using a long posterior flap. However, when you wear prosthetics, it can be associated with wound associated problems.
So there is a recent increasing trend towards doing this Q flap. So I will show you how to do it, how to do your surface marking for this Q flap so that we have got a very good stump as well as you don't have any dog ears. So the patient is prepped and draped. We do the surgery under the tourniquet. Now, in terms of marking; the first marking, you have to appreciate the stable velocity and joint line.
So joint line is just around that area. So we measured around 15 centimeters from the joint line or roughly around10 centimetres from the velocity. So this is where it's around 10. It's a side of our amputation. And this line is the shin. So if you take this through, this is the anterior border of the tibia. Now, if you see that the side of us, site of our amputation, and the shin meets, that is where is the center.
So if you go two centimeters lateral and two centimeters up. So open lateral, this is where the incision will start. Now I will take you to the next step as how we mark our incision. So just can take a suture, but I have just taken a feeding tube on this occasion just to make it look big. And it's easier to understand. So loosely, don't squeeze it.
And at the site of our amputation, we are going to measure the circumference. So this goes around and this comes here. So this is the circumference. So I'm just going to cut at the side of the circumference. So just to demonstrate after cutting. This is the whole circumference. So this is the right size.
So once I have done it, I'm just going to cut this into 1/2 so that it will give me the half circumference. So I'm just going to do this and then I'm going to cut this into the half. So now what I have done is I have marked the circumference here from the front and from the back. So it goes all across.
So now the next step will be to take the half tube and don't start it at the shin, but start it here and mark the half. So my assistant is going to take the marking temp and the mark of this mark after. Yes you see, he has marked it half there.
Now we are going to cut this into further halves so this becomes a quarter. So your starting point is this two centimeter lateral and then I mark the quarter. So this becomes the half and same way up front here and then started there half. So this is. So now you have divided the circumference into four segments.
So one, two behind. Three here and four there. Now, this one, you come on the lateral side. So if you take this quarter. And then you could see this. So this was the front.
Now from the half, mark the apex. And then keep this like this and keep going up. So this is the front. Go to the half mark.

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