Comparison of spontaneous sensory recovery of noninnervated anteromedial thigh flap, latissimus dorsi flap, and gracilis muscle flap in lower extremity reconstruction: A prospective comparative study

Microsurgery ◽  
2018 ◽  
Vol 39 (4) ◽  
pp. 297-303 ◽  
Author(s):  
Jens Rothenberger ◽  
Eva Maria Ramms ◽  
Fabian Medved ◽  
Jonas Kolbenschlag ◽  
Adrien Daigeler ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Comparative Study ◽  
Latissimus Dorsi ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Gracilis Muscle Flap ◽  
Sensory Recovery ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction ◽  
Prospective Comparative Study

Latissimus dorsi muscle flap for lower extremity reconstruction in children

Microsurgery ◽  
2010 ◽  
Vol 30 (7) ◽  
pp. 537-540 ◽  
Author(s):  
Thomas Namdar ◽  
Peter L. Stollwerck ◽  
Felix H. Stang ◽  
Thomas Lange ◽  
Peter Mailänder ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Latissimus Dorsi ◽  
Muscle Flap ◽  
Latissimus Dorsi Muscle ◽  
Latissimus Dorsi Muscle Flap ◽  
Dorsi Muscle ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction

Skin Paddles Improve Muscle Flap Salvage Rates After Microvascular Compromise in Lower Extremity Reconstruction

2018 ◽  
Vol 81 (1) ◽  
pp. 68-70
Author(s):  
John T. Stranix ◽  
Adam Jacoby ◽  
Z-Hye Lee ◽  
Lavinia Anzai ◽  
Pierre B. Saadeh ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Muscle Flap ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction

Function-Sparing Free Split Latissimus Dorsi Flap for Lower-Extremity Reconstruction

2020 ◽  
Vol 102 (19) ◽  
pp. 1714-1723 ◽  
Author(s):  
Harvey Chim ◽  
Rachel Cohen-Shohet ◽  
Mariel M. McLaughlin ◽  
Tosan Ehanire
Keyword(s):  
Lower Extremity ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Flap ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction

scholarly journals Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization

2020 ◽  
Vol 47 (6) ◽  
pp. 619-621
Author(s):  
Georgios Pafitanis ◽  
Alexandros Vris ◽  
Dimitris Reissis ◽  
Amir Sadri ◽  
Reza Alamouti ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Muscle Flap ◽  
Complex Case ◽  
Anterolateral Thigh Flap ◽  
Term Survival ◽  
Vein Grafts ◽  
Free Muscle Flap ◽  
Anterolateral Thigh ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction

This article portrays the authors’ clinical experience of a complex case of lower extremity reconstruction using a recycled pedicle from 10 years old free latissimus dorsi musculocutaneous flap to supply a new free anterolateral thigh flap for proximal tibia wound defect reconstruction. It provides clinical evidence that muscle neovascularization occurs and supports the dogma peripheral tissue neovascularization. This case stipulates that recycling of pedicle is feasible, when used with appropriate strategy and safety and also provides evidence for the long-term survival of greater saphenous vein grafts in lower extremity reconstruction.

Donor-Site Morbidity of Free Muscle and Perforator Flaps: Comparison of the Gracilis Muscle Flap and the Anterolateral Thigh Flap

2017 ◽  
Vol 33 (07) ◽  
pp. 526-532 ◽  
Author(s):  
M. Rassner ◽  
J. Kiefer ◽  
H. Bannasch ◽  
G. Stark ◽  
S. Eisenhardt ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Donor Site ◽  
Muscle Flap ◽  
Donor Site Morbidity ◽  
Gracilis Muscle ◽  
Perforator Flaps ◽  
Muscle Flaps ◽  
Gracilis Muscle Flap ◽  
Anterolateral Thigh ◽  
Alt Flap

Background Both the gracilis muscle flap and the anterolateral thigh (ALT) flap have been described as successful reconstructive options for defect coverage after trauma or tumor resection. In general, free perforator flaps are considered to generate less donor-site morbidity than muscle flaps. Here, we put this hypothesis to the test. Methods In this study, 193 patients who had undergone free flap reconstruction with either free gracilis muscle flaps (n = 131) or ALT flaps (n = 62) were included. Subjective patient satisfaction with the aesthetic and functional outcome of the donor sites was assessed using a self-report questionnaire as well as the Lower Extremity Functional Scale (LEFS). Results Comparing the donor-site morbidity of free ALT and gracilis flaps, the LEFS revealed no significant differences in functional impairment (p = 0.6447) of the lower extremity. The donor-site scar was significantly longer after ALT flap harvest (mean: 21.16 cm) than after gracilis muscle flap harvest (mean: 14.17 cm; p < 0.0001). Furthermore, donor-site numbness was significantly greater in the ALT group than in the gracilis group (p = 0.0068). Conclusion No significant differences in functional impairment of the lower extremity were reported after gracilis muscle and ALT flap harvest. Regarding scar length and level of numbness of the donor site, the gracilis muscle flap was shown to be superior to the ALT flap.

One versus two venous anastomoses in microvascular lower extremity reconstruction using gracilis muscle or anterolateral thigh flaps

Injury ◽  
2016 ◽  
Vol 47 (12) ◽  
pp. 2828-2832 ◽  
Author(s):  
Paul I. Heidekrueger ◽  
Denis Ehrl ◽  
Albrecht Heine-Geldern ◽  
Milomir Ninkovic ◽  
P. Niclas Broer
Keyword(s):  
Lower Extremity ◽  
Gracilis Muscle ◽  
Anterolateral Thigh ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction ◽  
Anterolateral Thigh Flaps
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