Orthoplastic techniques for lower extremity reconstruction Part 1, An Issue of Clinics in Podiatric Medicine and Surgery

1st Edition, Volume 37-4 - September 18, 2020
Editors: Edgardo R. Rodriguez-Collazo, Suhail Masadeh
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 2 8 7 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 2 8 8 - 5

Guest edited by Dr. Edgardo Rodriguez-Collazo, this issue of Clinics in Podiatric Medicine and Surgery Part 1 will cover several key areas of interest related to Orthoplastic… Read more

Orthoplastic techniques for lower extremity reconstruction Part 1, An Issue of Clinics in Podiatric Medicine and Surgery

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Guest edited by Dr. Edgardo Rodriguez-Collazo, this issue of Clinics in Podiatric Medicine and Surgery Part 1 will cover several key areas of interest related to Orthoplastic techniques for lower extremity reconstruction. This issue is one of four selected each year by our series Consulting Editor, Dr. Thomas Chang. Articles in this issue include but are not limited to: Gastrocnemius flap for coverage of proximal Third of the leg; Hemisoleus flap for coverage of the middle Third of the Leg; Distally Based Hemisoleus for coverage of the distal third of the leg; Posterior tibial artery Adipofascial flap for coverage of the distal third of the leg; Peroneal artery fasciocutaneous flap for Coverage of the distal leg and hindfoot; Reverse sural Adipofascial flap for coverage of the hindfoot; Medial plantar artery flap for coverage of the weight bearing surface of the heel; Intrinsic muscle flaps of the foot for coverage of small defects of the foot; Dorsal first Metatarsal artery fasciocutaneous flap; Understanding the arterial anatomy and dermal perfusion of the foot with clinical applications; Digital fillet flap for coverage of forefoot ulcers; and Tendon balancing for the management of pedal ulcerations, among others.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Local and Regional Flaps in Lower Extremity Reconstruction (Muscle and Fasciocutaneous Flaps)
The Gastrocnemius Flap for Lower Extremity Reconstruction
Key points
Operative technique
Medial Hemisoleus Flap for Middle Third of the Tibia Defects
Key points
Introduction
Anatomy
Surgical technique
Analysis/discussion
Clinical care points
Distally Based Medial Hemisoleus Muscle Flap for Wound Coverage in the Distal Third of the Leg
Key points
Introduction
Anatomy
Surgical technique
Postoperative care
Analysis/discussion
Clinical care points
Lower Limb Muscle Flaps: The Reverse Peroneus Brevis Flap
Key points
Introduction
History
Anatomy
Surgical technique
Clinical studies
Summary
Clinics care points
The Distally Based Posterior Tibial Artery Flap
Key points
Introduction
Anatomy of the posterior tibial fasciocutaneous flap
Clinical application and surgical technique
Case study #1
Case study #2
Case study #3
Discussion
Clinical care points
Peroneal Artery Adipofascial Flaps for Coverage of Distal Leg and Rearfoot
Key points
Peroneal artery adipofascial flaps for coverage of distal leg and hindfoot
Peroneal artery fasciocutaneous flap for coverage of the distal leg and hindfoot
Clinical care points
The Reverse Sural Artery Flap: A Reliable and Versatile Flap for Wound Coverage of the Distal Lower Extremity and Hindfoot
Key points
Introduction
Reverse sural artery flap anatomy
Surgical technique
Reverse sural flap modifications
Literature review/results
Analysis/discussion
Clinical care points
Propeller Flaps of the Lower Extremity
Key points
Introduction
Anatomy of a perforator-based propeller flap
Clinical applications and surgical technique
Results
Discussion
Clinical care points
Local and Regional Flaps in Pedal Reconstruction (Muscle and Fasciocutaneous Flaps)
Understanding the Arterial Anatomy and Dermal Perfusion of the Lower Extremity with Clinical Application
Key points
Introduction
Angiosomes of the lower extremity
Perforators of the lower leg
Clinical application
Clinics care points
Medial Plantar Artery Flap for Wound Coverage of the Weight-Bearing Surface of the Heel
Key points
Introduction
Medial plantar artery anatomy
Surgical technique
Literature review/results
Analysis/discussion
Clinical care points
First Dorsal Metatarsal Artery Flap for Coverage of Soft Tissue Defects of the Distal Foot: Delayed Technique, Proximal and Distally Based Fasciocutaneous and Adipofascial Variants
Key points
Introduction
Indications
Contraindications
Vascular anatomy
Venous congestion
Why delay technique?
Patient selection and preoperative planning
Operative technique: a stepwise approach
Postoperative care
Complications
Summary
Clinical care points
Utility of the Digital Fillet Flap
Key points
Introduction
Literature review
Arterial anatomy
Surgical technique
Literature review methods
Results
Discussion
Clinics care points
Intrinsic Muscle Flaps for Coverage of Small Defects in the Foot
Key points
Introduction
Extensor Digitorum Brevis muscle flap
Abductor Digiti Minimi muscle flap
Flexor Hallucis Brevis muscle flap
Abductor Hallucis muscle flap
Flexor digitorum brevis muscle flap
Postoperative care
Discussion
Clinical care points
Orthobiologics and Skin Grafting
The Role of Dermal Regenerative Templates in Complex Lower Extremity Wounds
Key points
Introduction
Skin structure and function
Phases of wound healing
Inflammation
Inflammation (vascular)
Inflammation (cellular)
Proliferative
Matrix remodeling/scar formation
Acellular dermal matrix integration
Indications, contraindications, and application
Discussion
Summary
Clinical care points
Skin Graft Techniques
Key points
Introduction
History
Skin substitutes
Anatomy
Properties of skin autografts
Preoperative planning
Donor site preparation
Transplantation site preparation
Procedural approach
Harvesting technique/transplantation technique
Recovery and management
Complications
Summary