scholarly journals A Propeller Perforator Flap in the Distal Lower Extremity: An Alternative to Free Flap Coverage Near the Ankle

Cureus ◽  
2021 ◽  
Author(s):  
William Aukerman ◽  
Daniel Urias ◽  
Bradley Winegardner ◽  
Kristopher Katira
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Perforator Flap ◽  
Flap Coverage

Surgical Strategies: Necrotizing Fasciitis of the Foot and Ankle Treated With Dermal Regeneration Matrix for Limb Salvage

2020 ◽  
pp. 107110072095208
Author(s):  
Arvind S. Narayanan ◽  
Kempland C. Walley ◽  
Todd Borenstein ◽  
G. Aman Luther ◽  
J. Benjamin Jackson ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Necrotizing Fasciitis ◽  
Limb Salvage ◽  
Free Flap ◽  
Foot And Ankle ◽  
Level Of Evidence ◽  
Flap Coverage ◽  
Split Thickness Skin Grafting ◽  
Dermal Regeneration

Although necrotizing fasciitis is a life-threatening entity that needs expeditious treatment, cases involving the lower extremity are less commonly encountered than in the upper extremity. Surgical intervention is often required and likely lead to amputation (below-knee or above-knee) vs debridement in the lower extremity. Coverage options in the foot and ankle after serial debridements can present many challenges for limb salvage. Patients are often left with large soft tissue defects requiring coverage with a subsequent increase in relative morbidity. Treatment options for coverage in these cases include negative-pressure wound therapy, split-thickness skin grafting, free flap coverage, or higher-level amputation. In the diabetic population, who present with a lower extremity necrotizing infection, limb salvage is often a challenge given the multiple comorbidities associated with these patients including peripheral vascular disease, immunocompromised state, and neuropathy. Optimal treatment strategies for these necrotizing infections in the foot and ankle remain uncertain. We offer a technique tip for utilization of a dermal regeneration matrix to allow coverage of large soft tissue defect with exposed tendon and/or bone without the need for free flap coverage or higher-level amputation, thus allowing for an additional limb salvage option. Level of Evidence: Level V, expert opinion.

Optimizing venous outflow in reconstruction of Gustilo IIIB lower extremity traumas with soft tissue free flap coverage: Are two veins better than one?

Microsurgery ◽  
2017 ◽  
Vol 38 (7) ◽  
pp. 745-751 ◽  
Author(s):  
John T. Stranix ◽  
Z-Hye Lee ◽  
Lavinia Anzai ◽  
Adam Jacoby ◽  
Tomer Avraham ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Free Flap ◽  
Venous Outflow ◽  
Flap Coverage ◽  
Better Than

Re-evaluating the paradigm of early free flap coverage in lower extremity trauma

Microsurgery ◽  
2012 ◽  
Vol 33 (1) ◽  
pp. 9-13 ◽  
Author(s):  
J. Bradford Hill ◽  
Jeffrey E. Vogel ◽  
Kevin W. Sexton ◽  
Oscar D. Guillamondegui ◽  
Gabriel A. Del Corral ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Flap Coverage ◽  
Lower Extremity Trauma ◽  
Extremity Trauma

Aesthetic Considerations Following Successful Free Flap Coverage of Head and Neck Defects

2007 ◽  
Vol 22 (08) ◽  
Author(s):  
Jeannette Matsuo ◽  
Seng-Feng Jeng ◽  
Yur-Ren Kuo ◽  
Ching Hsien
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Flap Coverage

Free Flap Coverage Of The Hand

1997 ◽  
Vol 24 (1) ◽  
pp. 57-62 ◽  
Author(s):  
David M. Brown ◽  
Joseph Upton ◽  
Roger K. Khouri
Keyword(s):  
Free Flap ◽  
Flap Coverage
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