Use of soleus musculocutaneous perforator‐based propeller flap for lower extremity wound coverage after osteocutaneous fibula free flap harvest

Microsurgery ◽  
2020 ◽  
Author(s):  
Arshad Kaleem ◽  
Neel Patel ◽  
Enrique Schubert ◽  
Ramzey Tursun
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Wound Coverage ◽  
Propeller Flap ◽  
Fibula Free Flap ◽  
Lower Extremity Wound

scholarly journals Thoracic limb salvage by fibular free flap

2019 ◽  
Vol 8 (1) ◽  
pp. 351
Author(s):  
Rodrigo Banegas Ruiz ◽  
Alan I. Valderrama Treviño ◽  
Francisco Fabián Gómez Mendoza ◽  
Rodrigo A. Mendoza Aceves ◽  
Rigoberto Román Hernández ◽  
...  
Keyword(s):  
Free Flap ◽  
Skin Defect ◽  
Posterior Compartment ◽  
Anatomical Reduction ◽  
Wound Coverage ◽  
Osteosynthesis Material ◽  
Thoracic Limb ◽  
Fibula Free Flap ◽  
Metaphyseal Fracture ◽  
Fibular Free Flap

The treatment of most fractures of the ulna and radius is usually performed by anatomical reduction and internal fixation, when damage is extensive and local soft tissue cannot provide a complete wound coverage, locoregional flaps present a suitable reconstructive benefit. A 35-year-old male patient suffered an exposed diaphysio-metaphyseal fracture with multi-fragmented distal radius. The patient was evaluated during a 10-day period at the National Institute of Rehabilitation, where the osteosynthesis material and a severe infectious process with necrosis were identified. Necrosectomy of the posterior compartment and removal of the osteosynthesis material was performed, a skin defect of approximately 22x16 cm was observed with a bone gap of 6 cm of radius and ulna. a fibula-free flap is placed to correct the skin defect and an external fixative used for bone alignment. The fibular free flap presents an excellent therapeutic alternative in the resolution of bone gaps with extensive skin defect. Whenever a trained microsurgery team is available, current scales of limb injury should be considered but not utilized for therapeutic approach, always trying to shift amputation as the first option, to the very last one of them.

Perforator‐based propeller flap for fibula free flap donor site repair: A novel surgical technique

2019 ◽  
Vol 130 (5) ◽  
pp. 1233-1235 ◽  
Author(s):  
Patrick F. Morgan ◽  
Joshua D. Hornig ◽  
Suhael R. Momin ◽  
William G. Albergotti ◽  
Robert M. Brody ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Free Flap ◽  
Donor Site ◽  
Propeller Flap ◽  
Fibula Free Flap

Asymptomatic lower extremity deep venous thrombosis resulting in fibula free flap failure

2009 ◽  
Vol 119 (6) ◽  
pp. 1085-1087 ◽  
Author(s):  
Adam S. Jacobson ◽  
Azita S. Khorsandi ◽  
Daniel Buchbinder ◽  
Mark L. Urken
Keyword(s):  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Free Flap ◽  
Flap Failure ◽  
Fibula Free Flap

Enhancement of the Fibula Free Flap by Alveolar Distraction for Dental Implant Restoration: Report of a Case

2003 ◽  
Vol 19 (1) ◽  
pp. 087-094 ◽  
Author(s):  
Lawrence Levin ◽  
Lee Carrasco ◽  
Amin Kazemi ◽  
Ara Chalian
Keyword(s):  
Dental Implant ◽  
Free Flap ◽  
Fibula Free Flap ◽  
Implant Restoration

scholarly journals Outcome Analysis of End-to-End and End-to-Side Anastomoses in 131 Patients Undergoing Microsurgical Free Flap Reconstruction of the Lower Extremity

2016 ◽  
Vol 02 (01) ◽  
pp. e7-e14
Author(s):  
Sören Könneker ◽  
G.F. Broelsch ◽  
J.W. Kuhbier ◽  
T. Framke ◽  
N. Neubert ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Statistical Significance ◽  
Group Versus ◽  
Outcome Analysis ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Flap Survival ◽  
Anastomotic Technique ◽  
End To End

Background End-to-end and end-to-side anastomoses remain the most common techniques in microsurgical free flap reconstruction. Still, there is an ongoing effort to optimize established techniques and develop novel techniques. Numerous comparative studies have investigated flow dynamics and patency rates of microvascular anastomoses and their impact on flap survival. In contrast, few studies have investigated whether the type of anastomosis influences the outcome of microvascular free flap reconstruction of a lower extremity. Patients and Methods Retrospectively, we investigated the outcome of 131 consecutive free flaps for lower extremity reconstruction related to the anastomotic technique. Results No statistical significance between arterial or venous anastomoses were found regarding the anastomotic techniques (p = 0.5470). However, evaluated separately by vessel type, a trend toward statistical significance for anastomotic technique was observed in the arterial (p = 0.0690) and venous (p = 0.1700) vessels. No thromboses were found in arterial end-to-end anastomoses and venous end-to-side anastomoses. More venous (n = 18) than arterial thromboses (n = 9) occurred in primary anastomoses undergoing microsurgical free flap reconstruction (p = 0.0098). Flap survival rate was 97.37% in the end-to-end arterial group versus 86.36% in the end-to-side group. No thromboses were found in five arterial anastomoses using T-patch technique. Conclusion For lower extremities, there is a connate higher risk for venous thrombosis in anastomotic regions compared with arterial thrombosis. We observed divergent rates for thromboses between end-to-end and end-to-side anastomoses.However, if thrombotic events are explained by anastomotic technique and vessel type, the latter carries more importance.

Fibula free flap phalloplasty: Modifications and recommendations

Microsurgery ◽  
1996 ◽  
Vol 17 (7) ◽  
pp. 358-365 ◽  
Author(s):  
J. Joris Hage ◽  
Henri A. H. Winters ◽  
Jesse Van Lieshout
Keyword(s):  
Free Flap ◽  
Fibula Free Flap

Third-Party Reimbursement for Lower-Extremity Wound Care

2002 ◽  
Vol 92 (1) ◽  
pp. 54-58
Author(s):  
Harry Goldsmith ◽  
Matthew G. Garoufalis
Keyword(s):  
Lower Extremity ◽  
Wound Care ◽  
Standard Of Care ◽  
Third Party ◽  
Foot And Ankle ◽  
Lower Extremity Wound ◽  
Third Party Reimbursement

This article describes the treatment of lower-extremity wounds, specifically foot and ankle ulcerations, in the context of reimbursement for treatments rendered. Therefore, such issues as standard of care, documentation, classification of foot wounds, coding, and reimbursement are discussed. (J Am Podiatr Med Assoc 92(1): 54-58, 2002)

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