Reconstruction of traumatic and non-traumatic lower extremity defects with local or free flaps

Summary Background Despite continuous surgical advances, reconstruction of complex lower extremity wounds remains challenging. The indication local flaps or microsurgical free tissue transfer depends on the anatomical location and size defect, as well comorbidities general condition patient. In this study, flap distal defects was assessed, postoperative complications limb salvage were analyzed. Methods A total 34 patients included in retrospective study. Distal traumatic (29%) non-traumatic (71%) etiologies. Patient characteristics, selection, complications, preservation within first 12 months assessed compared by reconstructive treatment concept. Statistical analysis parametric non-parametric tests. two-sided alpha set at 5% for all statistical Results While 21 treated with flaps, 13 underwent reconstruction. most common peripheral vascular disease diabetes. Local gastrocnemius muscle flap, soleus sural plantaris medialis flap. commonly used soft latissimus dorsi gracilis flaps. overall rate 94.1%. There one case below-knee amputation 1 month after reconstruction, first-ray foot coverage. Conclusion Reconstruction can be achieved Flap selection is influenced location, defect size, patient factors.