Reconstruction of a large upper tibial wound extending to the knee with a free latissimus dorsi flap

optimizing the outcomes

James E. Liau, Lee Li-Qun Pu

Research output: Contribution to journalArticle

9 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)548-552
Number of pages5
JournalMicrosurgery
Volume27
Issue number6
DOIs
StatePublished - 2007

Fingerprint

Superficial Back Muscles
Knee
Wounds and Injuries
Limb Salvage
Suction
Sutures
Lower Extremity
Veins
Transplants

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 journalArticle

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