Advancements in Reconstructive Surgery Broaden Opportunities for Salvage of the Injured Lower Extremity. [Review]
Citation: Annals of Plastic Surgery. 84(2):238-245, 2020 02.PMID: 31513085Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Leg Injuries/su [Surgery] | *Limb Salvage/td [Trends] | *Reconstructive Surgical Procedures/td [Trends] | Humans | Microsurgery | Surgical FlapsYear: 2020Local holdings: Available online from MWHC library: 2001 - present, Available in print through MWHC library: 1999 - 2006ISSN:- 0148-7043
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 31513085 | Available | 31513085 |
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