abstract the leg is a complex district with functions of weightbearing support, stability, and motility. the management of extensive and complex defects is more challenging and often results in leg amputation or shortening. leg amputation is a severe mutilation that alters the patient’s work and social life by limiting ambulation and self-sufficiency. during a 3 years period we treated four pat...

OBJECTIVE To review complications and outcomes associated with latissimus-serratus-rib free flap oromandibular and midface reconstruction. DESIGN Retrospective medical record review. SETTING Two academic tertiary care medical centers. PATIENTS Twenty-eight patients with segmental resection of the mandible and 1 patient with combined resection of the mandible and maxilla after excision of ...

INTRODUCTION The total 'rib'-preservation method of dissecting out the internal mammary vessels (IMV) during microvascular breast reconstruction aims to reduce free flap morbidity at the recipient site. We review our five-year experience with this technique. PATIENTS & METHODS An analysis of a prospectively collected free flap data cohort was undertaken to determine the indications, operative...

INTRODUCTION The internal mammary vessels (IMVs) are increasingly the recipients for free flap breast reconstruction (FFBR). Access traditionally entails removing a segment of the third costal cartilage. Despite excellent exposure, some authors have reported localized tenderness as well as a thoracic contour deformity. We introduced the "total rib preservation" technique for IMV exposure after ...

SUMMARY Posttraumatic upper or lower limb salvage is still challenging. Under difficult situations in which only one vessel supplies the hand or foot, free microvascular reconstruction might damage not only the transferred tissue but also the terminal hand or foot. Two cases of incomplete amputation of the unilateral forearm with large radius bone and soft tissue loss were reconstructed using a...

Eulerian Video Magnification (EVM) can enhance subtle changes in videos to reveal what was once invisible to the naked eye. In this proof of concept study, we investigated using EVM as a novel form of free flap monitoring. Free flaps with skin paddles were filmed in the operating room with manipulation of their pedicles. In a representative 77-year-old female who received a latissimus dorsi-ser...

Figure 1 Intraoperative photograph of a right 2nd intercostal space showing the IMVs successfully anastomosed to the deep inferior epigastric vessels. The distance between the two ribs and thus the space available for the microvascular anastomoses was 19 mm. Internal mammary vessel (IMV) exposure for free-flap breast reconstruction (BR) traditionally entails removal of a segment of the 3rd cost...

PURPOSE The purpose of this study was to present the outcome and discuss the feasibility of rib composite flap with intercostal nerve and internal thoracic vessels for reconstructing mandibular defect. METHODS Rib composite flaps have been used in 82 patients for reconstructing benign tumor-caused large mandibular defects: 66 of the 82 patients were reconstructed using rib composite flap with...

BACKGROUND The radial forearm osteocutaneous free flap is considered to be the standard technique for penile construction. One year after their operation, most patients experience a softened phallus, so that they suffer from difficulties in sexual intercourse. In this report, we present our experience with phalloplasty by radial forearm osteocutaneous free flap, as well as an evaluation of the ...