Advancements in Reconstructive Surgery Broaden Opportunities for Salvage of the Injured Lower Extremity. [Review]

Advancements in Reconstructive Surgery Broaden Opportunities for Salvage of the Injured Lower Extremity. [Review] - 2020

Available online from MWHC library: 2001 - present, Available in print through MWHC library: 1999 - 2006

Advancements in microsurgery have made lower extremity reconstruction possible even after major soft tissue loss or tibial nerve disruption. There is an ongoing paradigm shift in the indications for amputation versus salvage and in flap selection protocols for different areas of the lower extremity. Initial evaluation, patient selection, triage, and timing of reconstruction are essential factors that can influence functional and aesthetic outcomes. The emergence of perforator flaps and the application of new concepts such as free-style flaps, propeller perforator flaps, thinning of free flaps, and supermicrosurgery have provided reconstructive surgeons with many techniques to decrease donor-site morbidity and improve outcomes. This includes options for reconstruction on extremities with single or no adequate runoff vessels. We present a review of the major advancements in reconstructive surgery for salvage of the traumatic lower extremity.


English

0148-7043

10.1097/SAP.0000000000001977 [doi]


*Leg Injuries/su [Surgery]
*Limb Salvage/td [Trends]
*Reconstructive Surgical Procedures/td [Trends]
Humans
Microsurgery
Surgical Flaps


Curtis National Hand Center


Journal Article

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