TY - JOUR
T1 - Free Flaps in Lower Extremity Reconstruction
AU - Pu, Lee L.Q.
N1 - Funding Information:
The author has no financial interests in any of the drugs, products, or devices mentioned in this article.
PY - 2021
Y1 - 2021
N2 - Free tissue transfer to the lower extremity for limb salvage remains challenging. A comprehensive approach includes patient selection, flap selection, selection of the recipient vessels, flap dissection, flap preparation, microvascular anastomosis, flap inset, immediate postoperative care, intermediate postoperative care, and further follow-up care. Each step in this comprehensive approach has its unique considerations and should be executed equally to ensure an optimal outcome. Once acquired, some clinical experience along with adequate microsurgical skill, good surgical judgment, well instructed and step-by-step intraoperative execution, and a protocol-driven practice, successful free tissue transfer to the lower extremity can be accomplished.
AB - Free tissue transfer to the lower extremity for limb salvage remains challenging. A comprehensive approach includes patient selection, flap selection, selection of the recipient vessels, flap dissection, flap preparation, microvascular anastomosis, flap inset, immediate postoperative care, intermediate postoperative care, and further follow-up care. Each step in this comprehensive approach has its unique considerations and should be executed equally to ensure an optimal outcome. Once acquired, some clinical experience along with adequate microsurgical skill, good surgical judgment, well instructed and step-by-step intraoperative execution, and a protocol-driven practice, successful free tissue transfer to the lower extremity can be accomplished.
KW - Free flap
KW - Free tissue transfer
KW - Limb salvage
KW - Lower extremity
KW - Reconstructive microsurgery
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U2 - 10.1016/j.cps.2020.12.002
DO - 10.1016/j.cps.2020.12.002
M3 - Review article
C2 - 33674042
AN - SCOPUS:85099856077
JO - Clinics in Plastic Surgery
JF - Clinics in Plastic Surgery
SN - 0094-1298
ER -