Current concepts in microsurgical soft tissue reconstruction of lower extremity trauma in a single-vessel extremity

CME Lower Extremity Microsurgical Reconstruction

Learning Objectives: After studying this article, the participant should be able to: 1. Understand the indications for the use of free-tissue transfer in lower extremity reconstruction. 2. Understand modalities to enhance the healing and care of soft tissue and bone before free-tissue transfer. 3. Understand the lower extremity reconstructive ladder and the place of free-tissue transfer on the ...

Early Reconstructions of Complex Lower Extremity Battlefield Soft Tissue Wounds

BACKGROUND Severe lower extremity trauma as a devastating combat related injury is on the rise and this presents reconstructive surgeons with significant challenges to reach optimal cosmetic and functional outcomes. This study assessed early reconstructions of complex lower extremity battlefield soft tissue wounds. METHODS  This was a prospective case series study of battled field injur...

Abstract: Soft Tissue Reconstruction and Salvage of Infected Fixation Hardware in Lower Extremity Trauma

BACKGROUND Tibial fracture management may be complicated by infection of internal fixation hardware (iIFH) resulting in increased morbidity and amputation rate. When iIFH removal is not possible, salvage of the lower extremity is attempted through debridement, antibiotics, and vascularized soft tissue coverage. This study investigates lower extremity salvage with retention of iIFH. METHODS De...

Gastrocnemius Muscle Flap and Its Application in Lower Extremity Reconstruction

Abstract P12: Functional Outcomes Following Soft Tissue Reconstruction and Attempted Limb Salvage After Lower Extremity Trauma

PSRC Abstract Supplement P oter P rofs RESULTS: 358 breasts underwent reconstruction before protocol implementation and 135 afterwards. Patients were similar in terms of demographics and surgical characteristics. There was a significantly reduced incidence of clinically relevant infection after protocol implementation (10.1% to 2.9%, p= 0.009). Logistic regression analysis confirmed that the pr...