Abstract
Despite recent advances in free tissue transfer, management of a large upper tibial wound extending to the knee can be challenging for reconstructive surgeons. In this report, we present two cases where a free latissimus dorsi flap was used for successful soft-tissue coverage of the wound for limb salvage with optimal reconstructive outcomes. Our unique recipient vessel selection allows more effective free-tissue transfer without using a vein graft. Our preferred flap inset technique with multiple interrupted horizontal mattress sutures over a closed suction drain leads to an improvement of the initial contour of soft-tissue coverage that may contribute to the final optimized outcome in the lower-extremity reconstruction with or without a further debulking procedure.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 548-552 |
| Number of pages | 5 |
| Journal | Microsurgery |
| Volume | 27 |
| Issue number | 6 |
| DOIs | |
| State | Published - 2007 |
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ASJC Scopus subject areas
- Surgery
Cite this
Reconstruction of a large upper tibial wound extending to the knee with a free latissimus dorsi flap : optimizing the outcomes. / Liau, James E.; Pu, Lee Li-Qun.
In: Microsurgery, Vol. 27, No. 6, 2007, p. 548-552.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Reconstruction of a large upper tibial wound extending to the knee with a free latissimus dorsi flap
T2 - optimizing the outcomes
AU - Liau, James E.
AU - Pu, Lee Li-Qun
PY - 2007
Y1 - 2007
N2 - Despite recent advances in free tissue transfer, management of a large upper tibial wound extending to the knee can be challenging for reconstructive surgeons. In this report, we present two cases where a free latissimus dorsi flap was used for successful soft-tissue coverage of the wound for limb salvage with optimal reconstructive outcomes. Our unique recipient vessel selection allows more effective free-tissue transfer without using a vein graft. Our preferred flap inset technique with multiple interrupted horizontal mattress sutures over a closed suction drain leads to an improvement of the initial contour of soft-tissue coverage that may contribute to the final optimized outcome in the lower-extremity reconstruction with or without a further debulking procedure.
AB - Despite recent advances in free tissue transfer, management of a large upper tibial wound extending to the knee can be challenging for reconstructive surgeons. In this report, we present two cases where a free latissimus dorsi flap was used for successful soft-tissue coverage of the wound for limb salvage with optimal reconstructive outcomes. Our unique recipient vessel selection allows more effective free-tissue transfer without using a vein graft. Our preferred flap inset technique with multiple interrupted horizontal mattress sutures over a closed suction drain leads to an improvement of the initial contour of soft-tissue coverage that may contribute to the final optimized outcome in the lower-extremity reconstruction with or without a further debulking procedure.
UR - http://www.scopus.com/inward/record.url?scp=34948849715&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34948849715&partnerID=8YFLogxK
U2 - 10.1002/micr.20402
DO - 10.1002/micr.20402
M3 - Article
VL - 27
SP - 548
EP - 552
JO - Microsurgery
JF - Microsurgery
SN - 0738-1085
IS - 6
ER -