000 | 02427nam a22004217a 4500 | ||
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008 | 191010s20202020 xxu||||| |||| 00| 0 eng d | ||
022 | _a0148-7043 | ||
024 | _a10.1097/SAP.0000000000001977 [doi] | ||
040 | _aOvid MEDLINE(R) | ||
099 | _a31513085 | ||
245 | _aAdvancements in Reconstructive Surgery Broaden Opportunities for Salvage of the Injured Lower Extremity. [Review] | ||
251 | _aAnnals of Plastic Surgery. 84(2):238-245, 2020 02. | ||
252 | _aAnn Plast Surg. 84(2):238-245, 2020 02. | ||
252 | _zAnn Plast Surg. 2019 Sep 10 | ||
253 | _aAnnals of plastic surgery | ||
260 | _c2020 | ||
260 | _fFY2020 | ||
265 | _saheadofprint | ||
265 | _sppublish | ||
266 | _d2019-10-10 | ||
268 | _aAnnals of Plastic Surgery. 2019 Sep 10 | ||
501 | _aAvailable online from MWHC library: 2001 - present, Available in print through MWHC library: 1999 - 2006 | ||
520 | _aAdvancements 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. | ||
546 | _aEnglish | ||
650 | _a*Leg Injuries/su [Surgery] | ||
650 | _a*Limb Salvage/td [Trends] | ||
650 | _a*Reconstructive Surgical Procedures/td [Trends] | ||
650 | _aHumans | ||
650 | _aMicrosurgery | ||
650 | _aSurgical Flaps | ||
651 | _aCurtis National Hand Center | ||
657 | _aJournal Article | ||
700 | _aAssi, Patrick E | ||
700 | _aGiladi, Aviram M | ||
790 | _aAssi PE, Giladi AM | ||
856 |
_uhttps://dx.doi.org/10.1097/SAP.0000000000001977 _zhttps://dx.doi.org/10.1097/SAP.0000000000001977 |
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942 |
_cART _dArticle |
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999 |
_c4588 _d4588 |