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Titre : | Clinics in Podiatric Medicine and Surgery, Vol. 37, n° 4 - October 2020 - Orthoplastic Techniques for Lower Extremity Reconstruction Part I |
Type de document : | Bulletin : Périodique |
Paru le : | 01/12/2020 |
Année de publication : | 2020 |
Langues: | Français |
Disponible en ligne : | Oui |
Dépouillements
Article
The gastrocnemius flap is a versatile flap when muscle or muscle and skin are desired for coverage of bone of the proximal one-third of the leg and about the knee. Both the medial and lateral heads, or both combined, may be used as flaps. The me[...]
Article
Open wounds of the tibia may be caused by trauma, surgery, or chronic ulceration. These wounds often lead to significant morbidity and have the potential for limb loss. The anteromedial portion of the tibia lacks significant soft tissue coverage[...]
Article
Ahmed Ashraf Fisal ;
Mohamed Abdel-Hamid Romeih ;
Lotfy Mohamed Younes ;
Mahmoud El-Rosasy ;
Pedro Rodriguez ;
Michael D. Liette ;
Suhail Masadeh
|
The distal third of the leg is susceptible to various pathologies that require advanced soft tissue reconstruction. Open fractures, soft tissue injuries, ulcers related to diabetes, tumors, and ischemic wounds may be causative of soft tissue def[...]
Article
Chronic ulcerations of the lower extremity are common, complex, and very difficult to treat owing to the multiple etiologies and comorbidities associated with them. Soft tissue defects that are centered around the distal lower leg with exposed b[...]
Article
Soft tissue defects of the lower leg and hindfoot are challenging due to superficial tendon, bone, and neurovascular structures. The use of fasciocutaneous flaps for coverage of distal leg/hindfoot tissue defects has numerous advantages over alt[...]
Article
Peroneal artery adipofascial flaps are useful alternatives for coverage of small to moderately sized defects of the lower extremity.
Adipofascial flaps can be a reliable and effective way to provide early closure of a wound, preventing chro[...]
Article
Acute and chronic soft tissue defects of the distal lower extremity pose a significant challenge to the reconstructive surgeon. The paucity of vascularized tissue coupled with the mechanical demands of the region creates unique barriers in wound[...]
Article
Wounds of the lower extremity, especially those of the distal third of the leg, pose significant challenges due to the unique anatomy and physiology of this region. The thin subcutaneous layer, multitude of superficial tendons, and lack of muscl[...]
Article
An in-depth knowledge of the vasculature of the lower extremity is necessary for planning the most advantageous surgical procedures. Understanding these principles not only helps surgeons choose the correct procedures but also allows for optimal[...]
Article
The weight-bearing surface of the foot has a unique anatomy with highly specialized functional units capable of withstanding elevated pressures and unique forces.
Loss of the specialized anatomy owing to ulceration leads to an increased lik[...]
Article
Coverage options for distal soft tissue defects in the foot remain challenging.
The first dorsal metatarsal artery flap has several variants, making it a versatile option for challenging distal and proximal foot pathology.
Delaying the f[...]
Article
Coverage options should be durable and reconstruct tissues in a like with like fashion to accommodate the high plantar pressures and sheer forces.
The digital fillet flap provides a valuable option for forefoot soft tissue deficit coverag[...]
Article
Loss of soft tissue coverage distally around the foot poses threats of amputation of exposed boney structures. Exposure of critical structures such as joints, bones, ligaments, and tendons necessitates expeditious closure. The longer these struc[...]
Article
Dermal regenerative templates (DRTs) are composed of a bilayer that minimizes fluid loss and bacterial invasion while recreating a dermal layer.
DRTs serve as a scaffold that promotes host cells infiltration.
DRTs create a vascularized woun[...]
Article
Arshad Khan ;
Isra M. Khan ;
Phi P. Nguyen ;
Erwin Lo ;
Hassan Chahadeh ;
Mathew Cerniglia ;
James A. Noriega
|
The treatment of complex wounds of the lower extremities can be extremely challenging for the lower extremity surgeon. When performing a salvage of the lower extremity it is essential to take into consideration several factors including, osseous[...]