scholarly journals Cross-leg latissimus dorsi free flap with chimeric serratus anterior bridge for lower extremity trauma: Case report and reconstructive algorithm

2019 ◽  
Vol 10 (5) ◽  
pp. 867-872
Author(s):  
Jocelyn Lu ◽  
Vincent Chavanon ◽  
Ilana Margulies ◽  
Alice S. Yao
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Free Flap ◽  
Latissimus Dorsi ◽  
Serratus Anterior ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Trauma Case ◽  
Reconstructive Algorithm

scholarly journals A retrospective analysis of latissimus dorsi–serratus anterior chimeric flap reconstruction in 47 patients with extensive lower extremity trauma

2018 ◽  
Vol 51 (01) ◽  
pp. 024-032
Author(s):  
Ravi Kumar Mahajan ◽  
Krishnan Srinivasan ◽  
Abhiskek Bhamre ◽  
Mahipal Singh ◽  
Prakash Kumar ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Lower Limb ◽  
Latissimus Dorsi ◽  
Defect Size ◽  
Soft Tissue Reconstruction ◽  
Serratus Anterior ◽  
Advantages And Disadvantages ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Free Flap Transfer

ABSTRACT Background: Many flaps have been described for reconstruction of lower extremity defects, including, Latissimus Dorsi, Rectus abdominis, Anterolateral thigh perforator flaps, each having advantages and disadvantages. The defect location, size and specific geometric pattern of defect influences the type of flap that can be used. In this case series, we describe the specific situations where the use of chimeric latissimus dorsi–serratus anterior (LD + SA) free flaps are of advantage in providing complete wound cover. Materials and Methods: Case records of all patients who underwent LD + SA free flap transfer for lower extremity trauma at Amandeep Hospital, from Feb 2006 to Feb 2017 were reviewed. Patients were categorised based on the anatomical location and size of defect. The method of usage of the chimeric segments, recipient vessels and type of anastomosis were noted. Flap complications, if any were reviewed. Result: 47 patients with lower limb defects were included in the study. All cases were post traumatic in nature. Defect size ranged from 180 sq cm to 1050 sq cm. Average defect size was 487.70 sq cm. All patients underwent soft tissue reconstruction with LD + SA flap. Complete wound cover was obtained. Conclusion: Latissimus dorsi + Serratus anterior free tissue transfer is an effective, reliable method of providing cover to extensive lower limb traumatic defects with minimal donor site morbidity, with added freedom of inset and flap positioning. Specific use is seen in patients with broad proximal defect, long defect in the leg, defects involving adjacent anatomical areas and in large defect with dead space.

Larger free flap size is associated with increased complications in lower extremity trauma reconstruction

Microsurgery ◽  
2020 ◽  
Vol 40 (4) ◽  
pp. 473-478
Author(s):  
Z‐Hye Lee ◽  
Salma A. Abdou ◽  
Elie P. Ramly ◽  
David A. Daar ◽  
John T. Stranix ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Lower Extremity Trauma ◽  
Extremity Trauma

Microvascular Free Flap Reconstruction in Pediatric Lower Extremity Trauma: A 10-Year Review

2005 ◽  
Vol 115 (6) ◽  
pp. 1618-1624 ◽  
Author(s):  
Brian Rinker ◽  
Ian L. Valerio ◽  
Daniel H. Stewart ◽  
Lee L. Q. Pu ◽  
Henry C. Vasconez
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Microvascular Free Flap

scholarly journals Missed profunda artery injuries in two patients with penetrating lower extremity trauma: A case report

Injury Extra ◽  
2012 ◽  
Vol 43 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Holly Tyler-Paris Pilson ◽  
Jason Halvorson ◽  
Robert D. Teasdall ◽  
Eben A. Carroll
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Lower Extremity Trauma ◽  
Extremity Trauma

Fate of Free Flap Microanastomosis Distal to the Zone of Injury in Lower Extremity Trauma

1997 ◽  
Vol 99 (4) ◽  
pp. 1068-1073 ◽  
Author(s):  
Adam R. Kolker ◽  
Armen K. Kasabian ◽  
Nolan S. Karp ◽  
Jacob J. Gottlieb
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Lower Extremity Trauma ◽  
Extremity Trauma

Microvascular Free Flap Reconstruction in Pediatric Lower Extremity Trauma

2006 ◽  
Vol 118 (2) ◽  
pp. 570-571 ◽  
Author(s):  
Olivier Trost ◽  
Natacha Kadlub ◽  
Gabriel Malka ◽  
Pierre Trouilloud ◽  
Alain Michel Danino
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Microvascular Free Flap
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