scholarly journals How to do lower limb reconstruction using the keystone perforator island flap

2021 ◽  
Vol 4 (2) ◽  
pp. 105-107
Author(s):  
Felix Behan
Keyword(s):  
Lower Limb ◽  
Island Flap ◽  
Limb Reconstruction ◽  
Lower Limb Reconstruction

This guide summarises the keystone perforator island flap (KPIF) in lower limb reconstruction from the groin to the ankle. 

Free Flaps in Complex Lower Limb Reconstruction - 2-Year Experience

2014 ◽  
Vol 30 (S 01) ◽  
Author(s):  
Horácio Zenha ◽  
Carla Diogo ◽  
Sara Ramos ◽  
Susana Pinheiro ◽  
Ricardo Carvalho ◽  
...  
Keyword(s):  
Lower Limb ◽  
Free Flaps ◽  
Limb Reconstruction ◽  
Lower Limb Reconstruction

Canadian Trends in Free Flap Management for Microsurgical Lower Limb Reconstruction

2021 ◽  
pp. 229255032110196
Author(s):  
Michelle Bonapace-Potvin ◽  
Alexander Govshievich ◽  
Laurent Tessier ◽  
Mihiran Karunanayake ◽  
Dominique Tremblay ◽  
...  
Keyword(s):  
Lower Limb ◽  
Free Flaps ◽  
Online Questionnaire ◽  
Limb Reconstruction ◽  
Changing Practice ◽  
Current State ◽  
Lower Limb Reconstruction ◽  
Tumor Extirpation ◽  
Based Medicine ◽  
Previous Training

Introduction: Free tissue transfers have become a mainstay in lower limb salvage, allowing safe and reliable reconstruction after trauma, tumor extirpation, and complex wounds. The optimal perioperative (PO) management of these flaps remains controversial. This study aims to assess the current state of practice among Canadian microsurgeons. Methods: Sixty-four Canadian microsurgeons were approached to complete an online questionnaire regarding their PO management of fasciocutaneous free flaps used for lower limb reconstruction. Trends in dangling timing and duration, use of venous couplers, compressive garments, thromboprophylaxis, and surgeons’ satisfaction with their protocol were assessed. Results: Twenty-eight surgeons responded. Fifty-seven percent did not have a specific mobilization protocol. Dangling was mainly initiated on postoperative days 5 to 6 (44%). The most common protocol duration was 5 to 6 days (43%). The concern for prolonged venous pooling was the main reason for delay of dangling (71%). Compressive garments were placed routinely by 12 surgeons (43%) with 20% starting before dangling, 46% with dangling, and 33% after dangling. Venous couplers were routinely used by 24 surgeons (85.7%). Trends in management were influenced by previous training in 53.6% of cases (vs evidence-based medicine 7.1%). Although 89.3% were satisfied with their approach, 92.8% would consider changing practice if higher-level evidence was available. Conclusions: The majority of Canadian microsurgeons initiate dangling early and utilize venous couplers. However, the use of compressive garments is limited. Trends in management are largely based on personal experience. Nearly all surgeons would consider changing their practice if higher-level evidence was available.

Lower limb reconstruction with bone free flaps: experience of 25 cases

2011 ◽  
Vol 35 (5) ◽  
pp. 359-364
Author(s):  
Luís Azevedo ◽  
Horácio Zenha ◽  
Leonor Rios ◽  
Hugo Sequeira ◽  
Gustavo Coelho ◽  
...  
Keyword(s):  
Lower Limb ◽  
Free Flaps ◽  
Limb Reconstruction ◽  
Lower Limb Reconstruction

Lower limb reconstruction

2015 ◽  
pp. 607-627
Author(s):  
James K. Chan ◽  
Matthew D. Gardiner ◽  
Michael Pearse ◽  
Jagdeep Nanchahal
Keyword(s):  
Lower Limb ◽  
Limb Reconstruction ◽  
Lower Limb Reconstruction
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