Contemporary Approach to Lower Extremity Reconstruction, An Issue of Clinics in Plastic Surgery

1st Edition, Volume 48-2 - March 10, 2021
Editor: Lee L.Q. Pu
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 4 3 8 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 4 3 9 - 8

This issue Clinics in Plastic Surgery, guest edited by Dr. Lee L.Q. Pu, is dedicated to Contemporary Approach to Lower Extremity Reconstruction. Topics in this issue include—but… Read more

Contemporary Approach to Lower Extremity Reconstruction, An Issue of Clinics in Plastic Surgery

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This issue Clinics in Plastic Surgery, guest edited by Dr. Lee L.Q. Pu, is dedicated to Contemporary Approach to Lower Extremity Reconstruction. Topics in this issue include—but are not limited to—locoregional flaps, free flaps, propeller flaps, perforator-plus flaps, local free-style perforator flaps, free-style free perforator flaps, anterolateral thigh perforator flap, superficial circumflex iliac artery perforator flap, medial sural artery perforator flap, optimal timing of traumatic lower extremity reconstruction, management of Gustilo Type IIIC injuries, orthoplastic approach, functional restoration, lower extremity reconstruction after soft tissue sarcoma resection, super-microsurgery, free tissue transfers to lower extremity, and lower extremity reconstruction for limb salvage.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Locoregional Flaps in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedures
Postoperative care and expected outcome
Management of complications
Revisions or subsequent procedures
Case examples
Discussion
Summary
Clinics care points
Propeller Flaps in Lower Extremity Reconstruction
Key points
Introduction
Perforator flap anatomy
Indications and contraindications
Preoperative evaluation and special considerations
Lower leg
Safe harvest technique for propeller flaps
Postoperative care and expected outcomes
Management of complications
Revision or subsequent procedures
Case demonstrations
Discussion
Summary
Clinics care points
Perforator-Plus Flaps in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedures
Postoperative care and expected outcome
Management of complications
Case demonstrations
Discussion
Summary
Clinics care points
Freestyle Local Island Pedicle Flap in Lower Leg Reconstruction
Key points
Introduction
Indications and contraindications
Contraindications
Preoperative evaluation and special considerations
Surgical procedures
Postoperative care and expected outcome
Management of complications
Revision or subsequent procedures
Case demonstrations
Discussions
Summary
Clinics care points
Free Flaps in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedures
Postoperative care and expected outcomes
Management of complications
Revisions and subsequent procedures
Case reports
Discussion
Summary
Clinics care points
Free-Style Free Perforator Flaps in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedures
Postoperative care and expected outcome
Management of complications
Revisions or subsequent procedures
Case demonstrations
Discussion
Summary
Clinics care points
The Superficial Circumflex Iliac Artery Perforator Flap in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedure
Postoperative care and expected outcome
Management of complications
Revision or subsequent procedures
Case demonstrations
Discussion
Summary
Clinics care points
The Anterolateral Thigh Perforator Flap: Its Expanding Role in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedures for expanding indications
Postoperative care and expected outcome
Management of flap variation
Revision or subsequent procedures
Discussion
Summary
Clinics care points
The Medial Sural Artery Perforator Flap in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications of medial sural artery perforator flap transfers
Preoperative evaluation and special considerations
Surgical procedures
Postoperative care and expected outcome
Management of complications
Revision or subsequent procedures
Case demonstrations
Discussion
Summary
Clinics care points
The Optimal Timing of Traumatic Lower Extremity Reconstruction: Current Consensus
Key points
Introduction
Evidence for early timing of reconstruction
Wound preparation and management
The consensus
Summary
Clinics care points
Management of Gustilo Type IIIC Injuries in the Lower Extremity
Key points
Introduction
Reconstructive philosophy
Initial evaluation
Timing of operative interventions
Flap selection
Surgical approach
Postoperative care and expected outcome
Management of complications
Revision or subsequent procedures
Case demonstrations
Discussion
Summary
Clinics care points
Orthoplastic Approach to Lower Extremity Reconstruction: An Update
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedures
Revisions or subsequent procedures
Case demonstration
Discussion
Summary
Clinics care points
Functional Restoration in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications of preferred reconstructions, including rationale and timing
Discussion
Summary
Clinics care points
Supermicrosurgery in Lower Extremity Reconstruction
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedure
Postoperative care and expected outcome
Management of complications
Revision or subsequent procedures
Case demonstrations
Discussion
Summary
Clinics care points
Lower Extremity Reconstruction After Soft Tissue Sarcoma Resection
Key points
Introduction
Preoperative evaluation: multidisciplinary care, imaging, and staging
Oncological treatment: role of surgical resection, radiotherapy, and chemotherapy
Limb salvage: indications and contraindications
Reconstructive surgical procedures: anatomic and defect-specific approach
Postoperative care
Management of complications
Case demonstrations
Summary
Clinics care points
Free Tissue Transfer for Patients with Chronic Lower Extremity Wounds
Key points
Introduction
Indications and contraindications
Perioperative evaluation and special considerations
Surgical procedure
Postoperative care and expected outcome
Management of complications
Revision or subsequent procedures
Case demonstration
Discussion
Summary
Clinics care points
Microsurgical Reconstruction of the Lower Extremity in the Elderly
Key points
Introduction
Indications
Contraindications
Preoperative evaluation and special considerations
Surgical procedure
Postoperative care and expected outcome
Management of complications
Case demonstrations (up to 4 cases)
Discussion
Summary
Clinics care points
Supplementary data
Lower Extremity Reconstruction in the Pediatric Population
Key points
Introduction
Indications and contraindications
Preoperative evaluation and special considerations
Surgical procedures
Postoperative care and expected outcome
Management of complications
Revision or subsequent procedures
Discussion
Summary
Clinics care points
Lower extremity reconstruction for limb salvage and functional restoration - The Combat experience
Key points
Background
Initial considerations and triaging lower extremity injuries on the battlefield
Damage control and management of lower extremity wounds
Lower extremity vascular injury
Lower extremity nerve injury
Soft tissue coverage
Options for flap reconstruction
Regenerative medicine and future concepts in lower extremity reconstruction
Closing
Clinics care points