Reconstruction of the Lower Extremity Using Free Flaps
Archives of Plastic Surgery
;
: 575-583, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-160242
ABSTRACT
BACKGROUND:
The aim of lower-extremity reconstruction has focused on wound coverage and functional recovery. However, there are limitations in the use of a local flap in cases of extensive defects of the lower-extremities. Therefore, free flap is a useful option in lower-extremity reconstruction.METHODS:
We performed a retrospective review of 49 patients (52 cases) who underwent lower-extremity reconstruction at our institution during a 10-year period. In these patients, we evaluated causes and sites of defects, types of flaps, recipient vessels, types of anastomosis, survival rate, and complications.RESULTS:
There were 42 men and 10 women with a mean age of 32.7 years (range, 3-72 years). The sites of defects included the dorsum of the foot (19), pretibial area (17), ankle (7), heel (5) and other sites (4). The types of free flap included latissimus dorsi muscle flap (10), scapular fascial flap (6), anterolateral thigh flap (6), and other flaps (30). There were four cases of vascular complications, out of which two flaps survived after intervention. The overall survival of the flaps was 96.2% (50/52). There were 19 cases of other complications at recipient sites such as partial graft loss (8), partial flap necrosis (6) and infection (5). However, these complications were not notable and were resolved with skin grafts.CONCLUSIONS:
The free flap is an effective method of lower-extremity reconstruction. Good outcomes can be achieved with complete debridement and the selection of appropriate recipient vessels and flaps according to the recipient site.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Piel
/
Muslo
/
Talón
/
Tasa de Supervivencia
/
Estudios Retrospectivos
/
Trasplantes
/
Extremidad Inferior
/
Desbridamiento
/
Colgajos Tisulares Libres
/
Pie
Tipo de estudio:
Estudio observacional
Límite:
Animales
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Archives of Plastic Surgery
Año:
2013
Tipo del documento:
Artículo
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