Free tissue transfer to a difficult wound of the lower extremity

Lee Li-Qun Pu, Daniel A. Medalie, William J. Rosenblum, Steven J. Lawrence, Henry C. Vasconez

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Amputation is still recommended to patients with a difficult wound of the lower extremity because limb salvage after free tissue transfer in these patients remains uncertain. During the past 3 years, the authors studied 15 patients (11 men, 4 women; age range, 17-71 years) with difficult wounds of the lower extremities who had free tissue transfers for limb salvage. Eleven patients had an extensive soft-tissue defect (nearly the entire length) of the legs or feet, and 4 had a composite-tissue defect of the legs or feet that required bony reconstruction. A total of 16 free tissue transfers (13 free muscle flaps, 2 osteomusculocutaneous flaps, and 1 adipofascial flap) were performed in 15 patients (1 patient had bilateral transfers). A saphenous vein loop or graft was used in 3 patients and a subsequent bone graft was done in 2 patients. Free tissue transfer was accomplished successfully in 14 patients (93%). Limb salvage was achieved ultimately in 12 patients (80%) who were able to ambulate during a 36-month follow-up. The authors believe that free tissue transfer for limb salvage in any patient with a difficult wound of the lower extremity is still a worthwhile procedure and should be attempted if possible. Meticulous preoperative preparation and intraoperative execution combined with the use of innovative microsurgical techniques are the keys for success.

Original languageEnglish (US)
Pages (from-to)222-228
Number of pages7
JournalAnnals of Plastic Surgery
Volume53
Issue number3
DOIs
StatePublished - Sep 2004
Externally publishedYes

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Lower Extremity
Wounds and Injuries
Limb Salvage
Foot
Leg
Transplants
Patient Transfer
Free Tissue Flaps
Saphenous Vein
Amputation
Bone and Bones
Muscles

ASJC Scopus subject areas

  • Surgery

Cite this

Free tissue transfer to a difficult wound of the lower extremity. / Pu, Lee Li-Qun; Medalie, Daniel A.; Rosenblum, William J.; Lawrence, Steven J.; Vasconez, Henry C.

In: Annals of Plastic Surgery, Vol. 53, No. 3, 09.2004, p. 222-228.

Research output: Contribution to journalArticle

Pu, LL-Q, Medalie, DA, Rosenblum, WJ, Lawrence, SJ & Vasconez, HC 2004, 'Free tissue transfer to a difficult wound of the lower extremity', Annals of Plastic Surgery, vol. 53, no. 3, pp. 222-228. https://doi.org/10.1097/01.sap.0000120526.11702.29
Pu, Lee Li-Qun ; Medalie, Daniel A. ; Rosenblum, William J. ; Lawrence, Steven J. ; Vasconez, Henry C. / Free tissue transfer to a difficult wound of the lower extremity. In: Annals of Plastic Surgery. 2004 ; Vol. 53, No. 3. pp. 222-228.
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