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Journal articles on the topic 'Lower limb trauma reconstruction'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Serra, Pietro Luciano, Filippo Boriani, Umraz Khan, Matteo Atzeni, and Andrea Figus. "Rate of Free Flap Failure and Return to the Operating Room in Lower Limb Reconstruction: A Systematic Review." Journal of Clinical Medicine 13, no. 15 (2024): 4295. http://dx.doi.org/10.3390/jcm13154295.

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Background: Soft tissue defects of the lower limbs pose significant challenges in reconstructive surgery, accounting for approximately 10% of all reconstructive free flaps performed. These reconstructions often encounter higher complication rates due to various factors such as inflammation, infection, impaired blood flow, and nerve injuries. Methods: A systematic review was conducted following PRISMA guidelines, reviewing literature from 2017 to 2024. Eligible studies included those on free flap reconstruction of lower limb defects in living human subjects, with more than three cases and repor

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2

Wagels, Michael, Dan Rowe, Shireen Senewiratne, and David R. Theile. "History of lower limb reconstruction after trauma." ANZ Journal of Surgery 83, no. 5 (2012): 348–53. http://dx.doi.org/10.1111/j.1445-2197.2012.06271.x.

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3

Ruiz, Emmanuel Stephano Bracho, Sergio Sandoval Tapia, Rebeca Pamela Parra Enciso, et al. "Reverse Sural Flap for Lower Limb Reconstruction: A Literature Review." SAR Journal of Surgery 4, no. 03 (2023): 22–25. http://dx.doi.org/10.36346/sarjs.2023.v04i03.003.

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Soft tissue reconstruction of the lower third of the leg, the ankle, and the foot is challenging for reconstructive surgeons. The options for reconstruction are limited. Reverse sural flap is relatively easy to perform and considered a good option for reconstruction. The complication rates are variable in studies. These defects commonly occur as a result of trauma, infection and tumor excision. Sural artery neurovascular island flap is a relatively thin, pliable and insensate flap with minimum donor-site morbidity and acceptable aesthetic outcome.

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Jordan, Daniel J., and Sandip Hindocha. "Editorial Upper and Lower Limb Reconstruction Following Trauma." Open Orthopaedics Journal 8, no. 1 (2014): 397–98. http://dx.doi.org/10.2174/1874325001408010397.

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5

Zaman, Shahriar Raj, and Jeremy M. Rawlins. "Re: History of lower limb reconstruction after trauma." ANZ Journal of Surgery 83, no. 10 (2013): 796. http://dx.doi.org/10.1111/ans.12353.

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Reddy, Praveen Kumar C. V., and Naga Teja Mucherla. "Prospective study of propellar flaps vs. traditional local flaps in lower limb trauma reconstruction." International Surgery Journal 9, no. 2 (2022): 362. http://dx.doi.org/10.18203/2349-2902.isj20220324.

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Background: Adequate coverage of traumatic complex lower extremity wounds is often challenging for reconstructive surgeons. Propeller perforator flaps have gained wide acceptance as an alternative in soft tissue coverage of complex lower extremity defects over the last decade. We report our experience with distal lower extremity reconstructions performed either with traditional local flaps vs. propeller perforator flaps. our aim here was to compare non-microvascular flaps with traditional local flaps for coverage of traumatic lower extremity wounds.Methods: 30 patients operated for lower extre

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Devare, Abhishek, and Arun Bhatnagar. "Analysis of etiology of loss of skin in lower limb and its reconstructive options." International Surgery Journal 7, no. 9 (2020): 2976. http://dx.doi.org/10.18203/2349-2902.isj20203779.

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Background: The goal of lower extremity reconstruction in cases of skin loss is the coverage of defects and open wounds of the leg, so that they resume their life and prevent the deformity or amputation. Skin loss is either managed by dressings or surgically providing skin cover in the form of skin graft or flap.Methods: This was a prospective, observational hospital based study which involved 100 patients who were admitted in the ward with a diagnosis of skin loss in lower limb in Department of General Surgery and Department of Plastic surgery, Gandhi medical college and associated Hamidia Ho

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Othman, Sammy, Saïd C. Azoury, Kevin K. Klifto, L. Scott Levin, and Stephen J. Kovach. "Soft-tissue management and reconstruction of lower-extremity trauma." Plastic and Aesthetic Research 9 (2022): 29. http://dx.doi.org/10.20517/2347-9264.2021.135.

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Soft-tissue management and subsequent salvage of the lower extremity following trauma has long presented difficult challenges to the plastic surgeon. Trauma to the lower extremity can produce long-term sequelae consisting of psychological trauma, functional deficits, and increased costs to the healthcare system. Avoiding incorrect management is important, and is compounded by the fact that few guidelines exist on appropriate treatment and patient counseling. This study aims to describe the authors’ experience at a large limb salvage center in order to further delineate management strategies.

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Marchesini, Andrea, Letizia Senesi, Francesco De Francesco, et al. "Efficacy of the Arteriovenous Loop for Free Flap Reconstruction in Patients with Complex Limb Trauma: Case Series and Literature Review." Medicina 56, no. 11 (2020): 632. http://dx.doi.org/10.3390/medicina56110632.

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Background and objectives: Complex limb traumas are commonly treated with microsurgical reconstruction and free flaps. However, complications are frequent in patients affected by a previous trauma or comorbidity, atheromasia and a single valid vessel. Free flap reconstruction is indeed a challenging procedure in complex injuries, which may increase the risk of limb ischemia. The Arteriovenous loop (AVL) technique may be considered an efficient alternative treatment. We herein report our procedure and previous research regarding the AVL method using a two-step reconstruction in cases of complex

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Kakkar, Vikas, Sandeep Kansal, Kamal Sachdeva, and Balcharan Singh Bajwa. "The role of microvascular tissue transfer in severe limb trauma." International Surgery Journal 4, no. 8 (2017): 2658. http://dx.doi.org/10.18203/2349-2902.isj20173405.

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Background: Lower extremity reconstruction is an essential part of plastic surgery and focuses on the treatment of wounds. The restoration of an intact covering is the primary surgical requisite following trauma of the lower extremity because deep healing can be no better than the surface covering. Present study will review the field of lower extremity reconstruction focusing on the micro-vascular tissue transfer for severe limb traumatic injuries.Methods: Patients were fully evaluated and defect was assessed depending on the defect requirement free micro- vascular flap was planned. 20 micro v

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Archer, Kristin R., Renan C. Castillo, Ellen J. MacKenzie, and Michael J. Bosse. "Gait Symmetry and Walking Speed Analysis Following Lower-Extremity Trauma." Physical Therapy 86, no. 12 (2006): 1630–40. http://dx.doi.org/10.2522/ptj.20060035.

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Abstract Background and PurposeGait has been shown to be a major determining factor of function following limb-salvage surgery. However, little is known regarding the measures associated with gait recovery for this patient population. The purpose of this study was to identify clinical measures associated with impaired walking speed and gait asymmetry in patients with lower-extremity reconstruction. Subjects. Study subjects were 381 patients from the Lower Extremity Assessment Project (LEAP) who had undergone reconstruction following severe lower-extremity trauma. Methods. The LEAP study was a

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Lo, Cheng H., Michael Leung, Charles Baillieu, Elaine W. T. Chong, and Heather Cleland. "TRAUMA CENTRE EXPERIENCE: FLAP RECONSTRUCTION OF TRAUMATIC LOWER LIMB INJURIES." ANZ Journal of Surgery 77, no. 8 (2007): 690–94. http://dx.doi.org/10.1111/j.1445-2197.2007.04188.x.

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13

Townley, W. A., C. Urbanska, R. L. R. Dunn, and U. Khan. "Costs and coding—Free-flap reconstruction in lower-limb trauma." Injury 42, no. 4 (2011): 381–84. http://dx.doi.org/10.1016/j.injury.2010.10.006.

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14

Wagels, Michael, Daniel Rowe, Shireen Senewiratne, and David R. Theile. "Response to Re: History of lower limb reconstruction after trauma." ANZ Journal of Surgery 84, no. 1-2 (2014): 99. http://dx.doi.org/10.1111/ans.12467.

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15

di Summa, Pietro G., Gianluca Sapino, Daniel Wagner, Michele Maruccia, David Guillier, and Heinz Burger. "Combined Free Flaps for Optimal Orthoplastic Lower Limb Reconstruction: A Retrospective Series." Medicina 59, no. 5 (2023): 859. http://dx.doi.org/10.3390/medicina59050859.

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Background and Objectives Open fracture of the lower limb can lead to substantial bone and soft tissue damage, resulting in a challenging reconstructive scenarios, especially in presence of bone or periosteal loss, with a relevant risk of non-union. This work analyzes outcomes of using a double approach for orthoplastic reconstruction, adopting the free medial condyle flap to solve the bone defects, associated to a second free flap for specific soft tissue coverage. Indications, outcomes and reconstructive rationales are discussed. Materials and Methods: A retrospective investigation was perfo

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Gatto, Arianna, Giorgio Giacomini, Erica Michela Cavalli, Giorgio Eugenio Pajardi, and Andrea Marchesi. "Immediate Soft Tissue Reconstruction in Lower Limb Traumas Using Propeller Perforator Flaps." Annals of Plastic Surgery 91, no. 5 (2023): 590–96. http://dx.doi.org/10.1097/sap.0000000000003696.

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Background Open bone fractures represent a demanding clinical condition that can be life- or limb-threatening. For small- to medium-size soft tissue defects of the lower extremity, propeller perforator flaps are a viable option for reconstruction. We report our experience in Gustilo IIIB open fractures treatment with immediate coverage through propeller-based perforator flaps performed in acute setting. Methods Between 2019 and 2022, 94 Gustilo III fractures were admitted to our trauma center, and 28 were Gustilo IIIB fractures. Five patients were eligible for an immediate perforator-based pro

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Dahl, Victoria A., Kashyap Komarraju Tadisina, and Kyle Y. Xu. "Limb Salvage and Treatment of Posttraumatic Lymphedema in a Mangled Lower Extremity." Plastic and Reconstructive Surgery - Global Open 12, no. 10 (2024): e6209. http://dx.doi.org/10.1097/gox.0000000000006209.

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Summary: Post traumatic lymphedema (PTL) is a known complication of extremity trauma that is detrimental to limb form and function, healing, and quality of life. In cases of complex lower extremity trauma with vascular and extensive soft tissue injury, the risk of PTL is increased. However, many trauma patients are lost to follow-up, making the risk and potential management of these patients’ lymphedema difficult to characterize. The purpose of this report is to describe the successful surgical management of PTL secondary to significant lower extremity trauma requiring complex limb salvage rec

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Izawa, Yuta, Kentaro Futamura, Hiroko Murakami, Kazuo Sato, and Yoshihiko Tsuchida. "Efficacy of Orthoplastic Management in the Treatment of Traumatic Popliteal Artery Injury." Plastic and Reconstructive Surgery - Global Open 12, no. 3 (2024): e5696. http://dx.doi.org/10.1097/gox.0000000000005696.

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Background: Popliteal artery injury (PAI) is a challenging condition. Even with appropriate initial treatment and reconstruction of the associated injuries, extensive soft-tissue necrosis may occur, requiring lower leg amputation. There are no reports on the effectiveness of orthoplastic surgery in treating traumatic PAI. However, orthoplastic surgery is also considered very effective in PAI treatment, which requires delicate handling of soft-tissue and blood vessels. This study aimed to examine the treatment outcomes of traumatic PAI at a trauma center with the capacity for orthoplastic manag

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Burtt, Karen E., Alexis D. Rounds, Hyuma A. Leland, Ram K. Alluri, Ketan M. Patel, and Joseph N. Carey. "Patient and Surgical Factors Contributing to Perioperative Infection in Complex Lower Extremity Trauma." American Surgeon 82, no. 10 (2016): 940–43. http://dx.doi.org/10.1177/000313481608201017.

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Infections in the traumatized lower extremity are a significant source of morbidity and expense. Outcomes after vascularized soft tissue reconstruction were analyzed to determine impact on infection rates. A retrospective review of a prospectively maintained database was performed, including 114 trauma patients requiring soft tissue reconstruction of lower extremity injuries at an urban Level I tertiary referral center from 2008 to 2015. Patient characteristics and perioperative outcomes were analyzed. After trauma, 39 (34.2%) patients developed wound infections, of which 74.4 per cent of infe

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Xiao, Connie, Nebiyou Ermias Gebremariam, and Peter Nthumba. "The Use of the Pedicled Nonislanded Foot Fillet Flap to Avoid an Above-the-Knee Amputation after Trauma." Plastic and Reconstructive Surgery - Global Open 12, no. 8 (2024): e6070. http://dx.doi.org/10.1097/gox.0000000000006070.

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Background: Lower extremity trauma can have a devastating effect on the quality of the life of patients. To avoid limb amputation and its associated social stigma, many patients spend years undergoing multiple costly procedures, with prolonged hospital stays, all the while hoping for an elusive limb salvage. People with lower limb amputation experience higher energy requirements for walking, reduced aerobic capacity, and slower walking speeds, when compared with people with normal limbs. A below-knee amputation (BKA) is functionally superior to an above-knee amputation. Methods: Between 2012 a

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MD, Wiria Aryanta. "Pembaruan pada Trauma Ortopedi." Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sriwijaya 1, no. 1 (2019): 36–37. http://dx.doi.org/10.32539/confmednatalisunsri.v1i1.5.

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Orthopedic trauma is a broad term describing all kinds of injuries affecting the bones, joints, muscles, tendons, and ligaments in any part of the body that are caused by trauma. The term is wide-ranging and may refer to minor fractures or severely broken bones with a direct threat to the patient’s life. Orthopaedic surgeries focused on treating fractured bones and making sure the injured part of the body regains its original strength and maximum function it used to have prior to the injury. The many different types of orthopedic trauma are classified based on the affected body part: Upper ext

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LANCE, RICHARD H. "Limb Reconstruction Versus Amputation Decision Making in Massive Lower Extremity Trauma." Clinical Orthopaedics and Related Research &NA;, no. 243 (1989): 92???99. http://dx.doi.org/10.1097/00003086-198906000-00014.

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23

Gharti Magar, Mangal, Piyush Giri, Krishna Kumar Nagarkoti, et al. "Plastic Surgical Procedures for Lower Limb Reconstruction at a Tertiary Hospital in Nepal." Journal of Nepal Health Research Council 18, no. 4 (2021): 747–52. http://dx.doi.org/10.33314/jnhrc.v18i4.2948.

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Background: This study assessed the lower limb reconstruction outcome so that it will provide a baseline evidence to enable data-driven decision making to improve outcome in the future.Methods: In this study, hospital records from 1st January to 31st December 2019 were collected retrospectively. Complete data of all patients’ records treated for lower limb defects at Kirtipur Hospital were included and incomplete data were excluded. Univariate and Bivariate analyses were performedResults: In total 110 patients were included in this study with a male predominance of 66.4% (n=73). The mean age o

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Filigheddu, Edoardo, Federico Ziani, Giovanni Arrica, et al. "Microsurgical Reconstruction of Extensive Lower Limb Defects: Latissimus Dorsi Free Flap for Circumferential Soft Tissue Loss Following High-Energy Trauma." Journal of Clinical Medicine 14, no. 13 (2025): 4424. https://doi.org/10.3390/jcm14134424.

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Background/Objectives: High-energy trauma to the lower limb often results in extensive soft tissue loss with exposure of critical structures, posing a serious threat to limb viability. Early and effective coverage is crucial to prevent infection, promote bone healing, and preserve function. This report presents the use of a latissimus dorsi free flap for circumferential soft tissue reconstruction following a severe crush injury. Methods: We describe the case of a young female patient who sustained a high-energy crush trauma with a comminuted, displaced fracture of the middle and distal third o

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Piper, Merisa L., Dominic Amara, Sarosh N. Zafar, Charles Lee, Hani Sbitany, and Scott L. Hansen. "Free Tissue Transfer Optimizes Stump Length and Functionality Following High-Energy Trauma." Journal of Reconstructive Microsurgery Open 04, no. 02 (2019): e96-e101. http://dx.doi.org/10.1055/s-0039-3399573.

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Abstract Background Advances in medicine and surgery have allowed patients, who in the past would have required more aggressive amputations, to maintain longer stump lengths. Microvascular free tissue transfer has become increasingly popular to preserve limb length and optimize functionality. We present our experience using microvascular free flap reconstruction to preserve lower extremity limb length in the setting of high-energy trauma. Methods We conducted an Institutional Review Board-approved retrospective review of patients at three San Francisco hospitals who underwent free flap reconst

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Degiannis, Elias, Douglas M. Bowley, Frank Bode, et al. "Ballistic Arterial Trauma to the Lower Extremity: Recent South African Experience." American Surgeon 73, no. 11 (2007): 1136–39. http://dx.doi.org/10.1177/000313480707301112.

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The aim of this study was to determine the current outcome of gunshots to the arteries of the lower extremity. The authors conducted a retrospective analysis of 104 patients with gunshots to the femoral (n = 71) and popliteal (n = 33) artery. One hundred four patients presented over the 60-month period. Ninety-six (92%) were male and eight of 104 female. Ninety-nine were gunshot injuries, five from shotguns. Nine patients had injury to the common femoral artery, 62 patients had injury to the superficial femoral artery, and 33 had popliteal artery injury. One patient died in the emergency room

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Bhatta, Toya Raj, B. Gyawali, R. Tamrakar, et al. "Utility of mangled extremity severity score in severely injured lower limbs." Journal of Society of Surgeons of Nepal 18, no. 1 (2017): 23–25. http://dx.doi.org/10.3126/jssn.v18i1.17210.

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Introduction: Massive lower extremity trauma,in particular open tibial fractures with associated vascular injuries, present an immediate and complex decision-making challenge between a limb salvage attempt and primary amputation. Medical and surgical advances of the past two decades have improved the ability to reconstruct severely injured limb. Limbs that once would have been amputated are now routinely managed with complex reconstruction protocol. Mangled extremity severity score is one of the scoring systems to predict the fate of limbs after severe limb injuries.Methods: Patients fulfillin

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Кhanchi, Mead, Askar Matkerimov, Ablay Tergeussizov, et al. "SURGICAL TREATMENT OF ARTERIAL ANEURYSMS OF THE LOWER LIMB." BULLETIN OF SURGERY IN KAZAKHSTAN, III 2021 (July 1, 2021): 32–38. http://dx.doi.org/10.35805/bsk2021iii032.

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Peripheral artery aneurysms are dangerous with possible complications such as ruptures, bleeding, thromboembolism in the distal bed with subsequent tissue ischemia, neurological disorders due to pressure of closely located nerve trunks. One of the most common causes of peripheral artery aneurysms is trauma. Special attention should be paid to a significant increase in the number of iatrogenic injuries. From 2000 to 2019, 46 patients were operated on the arteries of the lower extremities. Operations of various types of reconstructions were performed. The total age of the patients ranged from 30

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Jovanovic, Mladen, Zlata Janjic, and Dusan Maric. "Treatment algorithms for high-energy traumas of lower extremities." Medical review 55, no. 9-10 (2002): 437–42. http://dx.doi.org/10.2298/mpns0210437j.

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Introduction High-energy traumas are open or closed injuries caused by force (missile, traffic injuries, crush or blust injuries, falling from heights), affecting the body surface and transferring high amount of kinetic energy inducing great damage to the tissue. Management of such lower extremity injuries has evolved over past several decades, but still remains a difficult task for every surgical team. Specific anatomic and functional characteristics combined with extensive injuries demands specific treatment protocols. Multiple injuries In a multiple injured patient the first priority is man

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Sagray, Bryan A. "Aggressive Early Reconstruction in Open Foot Trauma." Journal of the American Podiatric Medical Association 103, no. 1 (2013): 76–80. http://dx.doi.org/10.7547/1030076.

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Open fracture-dislocation of the lower extremity poses a serious risk, has a high incidence of complications, and necessitates prompt surgical intervention. Patients need to be evaluated on presentation to the emergency department for neurovascular injury, soft-tissue insult, stability of the fracture, concomitant injuries, and overall medical/nutritional status. Implementation of a specific treatment protocol will decrease time to operative management and increase the overall success rate. Success after treatment of lower-extremity trauma should be defined as a noninfected, functional limb wi

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Patterson, Joseph T., Haley Nakata, Jacob Becerra, and Andrew Duong. "Traumatic soft tissue defects: a perspective review on reconstruction and communication priorities from the orthopaedic trauma surgeon as a partner in care." Plastic and Aesthetic Research 9, no. 3 (2022): 23. http://dx.doi.org/10.20517/2347-9264.2021.117.

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Communication and coordination between orthopedic and plastic surgeons improve outcomes in severe extremity trauma. The “orthoplastics” approach to limb salvage incorporates priorities and skillsets from both fields. Prevention of infection, coordinated skeletal and soft tissue reconstruction, and communication during recovery and rehabilitation are key priorities. The purpose of this review is to describe the orthopedic trauma surgeon’s perspectives on lower extremity reconstruction, including initial management, techniques and timing for provisional and definitive skeletal reconstruction, an

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Mundy, Lily R., Anne Klassen, Amanda R. Sergesketter, et al. "Content Validity of the LIMB-Q: A Patient-Reported Outcome Instrument for Lower Extremity Trauma Patients." Journal of Reconstructive Microsurgery 36, no. 09 (2020): 625–33. http://dx.doi.org/10.1055/s-0040-1713669.

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Abstract Background Limb-threatening lower extremity traumatic injuries can be devastating events with a multifaceted impact on patients. Therefore, evaluating patient-reported outcomes (PROs) in addition to traditional surgical outcomes is important. However, currently available instruments are limited as they were not developed specific to lower extremity trauma patients and lack content validity. The LIMB-Q is being developed as a novel PRO instrument to meet this need, with the goal to measure all relevant concepts and issues impacting amputation and limb-salvage patients after limb-threat

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Lo, C. H., M. Leung, C. Baillieu, E. W. T. Chong, and H. Cleland. "PR16 A TRAUMA CENTRE EXPERIENCE: FLAP RECONSTRUCTION OF TRAUMATIC LOWER LIMB INJURIES." ANZ Journal of Surgery 77, s1 (2007): A65. http://dx.doi.org/10.1111/j.1445-2197.2007.04127_16.x.

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Mahajan, Ravi, Inderdeep Singh, Avtar Singh, Mahipal Singh, and Sandeep Kansal. "Combined free flap and ilizarov bone reconstruction in complex lower limb trauma: our experience." International Journal of Research in Orthopaedics 4, no. 5 (2018): 797. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20183684.

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<p class="abstract"><strong>Background:</strong> Reconstruction of complex lower limb trauma is a major concern for both plastic and Orthopedic surgeons. The use of free flap with Ilizarov method for soft tissue coverage and bone reconstruction not only gives the patient near normal shape and function but also allows early mobilization of the patient, even during the process of distraction with Ilizarov method.</p><p class="abstract"><strong>Methods:</strong> In this study patients with bone and soft tissue defects of the lower leg were included in the

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Hong, Qi En, Jonah Ee Hsiang Kua, Vincent K. S. Tay, Stephanie L. S. Chan, Christopher Wei Guang Ho, and Jeremy Mingfa Sun. "Utilizing the Subunit Concept to Achieve Better Outcomes in Lower Limb Reconstruction: A Clinical Experience in an Asian Population." Plastic and Reconstructive Surgery - Global Open 12, no. 4 (2024): e5752. http://dx.doi.org/10.1097/gox.0000000000005752.

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Background: The goals of reconstruction have progressed from filling a defect to enhancing function and aesthetic appearance. We aimed to achieve better aesthetic and functional outcomes in terms of shoe fitting and mobility. This is accomplished via a classification of the subunits and aesthetic considerations of the lower limb. Methods: Between April 2017 and December 2021, 66 cases of lower extremity free fasciocutaneous flap reconstruction cases were included in this retrospective study. Data parameters include age, sex, comorbidities, etiology of lower limb wounds, choice of free flap rec

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Mégevand, Vladimir, Domizio Suva, Morad Mohamad, Didier Hannouche, Daniel F. Kalbermatten, and Carlo M. Oranges. "Muscle vs. Fasciocutaneous Microvascular Free Flaps for Lower Limb Reconstruction: A Meta-Analysis of Comparative Studies." Journal of Clinical Medicine 11, no. 6 (2022): 1557. http://dx.doi.org/10.3390/jcm11061557.

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(1) Background: Lower extremity microvascular reconstruction aims at restoring function and preventing infection while ensuring optimal cosmetic outcomes. Muscle (M) or fasciocutaneous (FC) free flaps are alternatively used to treat similar conditions. However, it is unclear whether one option might be considered superior in terms of clinical outcomes. We performed a meta-analysis of studies comparing M and FC flaps to evaluate this issue. (2) Methods: The PRISMA guidelines were followed to perform a systematic search of the English literature. We included all articles comparing M and FC flap

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Sayed, Marwa Abd Elhamed, Magda Ahmed Mohammed, Amr Elsayed, and Rasha Ali Ahmed Abdelmowla. "Does Early Postoperative Rehabilitation Affect Pain, Function, and Satisfaction for Patients Underwent Microvascular Lower Limb Free Flap?" International Journal of Membrane Science and Technology 10, no. 3 (2023): 3002–15. http://dx.doi.org/10.15379/ijmst.v10i3.2867.

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Background: Microvascular free flap is an important to reconstructive tissue defects and restore anatomical structure and functional following disabling injuries. Aim of study: Evaluate the effect of early postoperative rehabilitation on patients' pain, function, and satisfaction. Patients and Methods: Sixty patients who attended the microvascular reconstruction unit and the trauma department with lower limb defects indicated for microvascular free flap were randomly selected, their age (18 to 65 years). Sample were randomized into two groups by using a shuffled deck of cards (even number = co

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Kurozumi, Taketo, Takahiro Inui, Yuhei Nakayama, et al. "Comparison of patient-reported outcomes at one year after injury between limb salvage and amputation: A prospective cohort study." PLOS ONE 17, no. 9 (2022): e0274786. http://dx.doi.org/10.1371/journal.pone.0274786.

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Purpose This single-center, prospective cohort study aimed to compare the patient-reported outcomes one year after injury between limb salvage and amputation and to elucidate whether amputation contributes to early recovery of functionality and quality of life. Methods We included 47 limbs of 45 patients with severe open fractures of the lower limb and categorized them into limb salvage and amputation groups. Data on patient-reported outcomes one year after injury were obtained from the Database of Orthopaedic Trauma by the Japanese Society for Fracture Repair at our center. Patients’ limbs we

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Elsharawy, Mohamed Amin. "Arterial Reconstruction after Mangled Extremity: Injury Severity Scoring Systems Are Not Predictive of Limb Salvage." Vascular 13, no. 2 (2005): 114–19. http://dx.doi.org/10.1258/rsmvasc.13.2.114.

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The Vascular Unit at Suez Canal University Hospital in Egypt covers a wide area with high rates of severe injuries. This is a prospective study of mangled extremities to identify risk factors associated with limb loss in these patients. Between December 2000 and August 2003, a prospective study on all patients with arterial injuries in mangled extremities was undertaken. All patients were scored using the Mangled Extremity Severity Score (MESS) and the Mangled Extremity Severity Index (MESI). During this period, arterial reconstruction was performed in 62 patients. Primary patency, secondary p

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Niraula, Himalaya, Bikesh Rajbhandari, Manish Devkota, et al. "Experience in Flap Reconstruction of Lower Limb Defects in a Tertiary Care Center of Nepal." Journal of Institute of Medicine Nepal 43, no. 3 (2021): 30–34. http://dx.doi.org/10.59779/jiomnepal.1183.

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Introduction: Lower limb defects are caused by trauma, chronic ulcers or oncological resection. Being a large and varied area of the body, lower limb reconstruction is challenging. This study analyzed clinical presentation of such defects, surgical management and outcomes in Nepalese context. Methods: Single-center retrospective study of flap reconstruction of lower limb defects conducted in Tribhuvan University Teaching Hospital, Kathmandu over a two years period (April 2019-March 2021). Demographics, clinical presentation, comorbidities, treatment and complications were recorded and analyzed

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Sudarsa, Shita Diwyani, and Tiesya Andira Padmasari. "Reconstruction after inappropriate lower limb open degloving injury management resulting in the necrotic wound: a case report." Intisari Sains Medis 15, no. 2 (2024): 920–24. http://dx.doi.org/10.15562/ism.v15i2.2083.

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Background: Trauma with shear mechanisms, which are typically the result of after trauma regarding traffic incidents, is the primary cause of degloving injuries. The condition is typified by the avulsion of skin and subcutaneous tissue, resulting in a deficiency in coverage and, in extreme situations, the loss of the limb involved. Case Presentation: A 58-year-old male was struck by a car and sustained a direct blow to his right lower leg from a rubber tire. The patient was hospitalized and did primary wound closure. A week later, the patient sought a second opinion in a different hospital due

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Manrique, Oscar, Sarah Bishop, Pedro Ciudad, et al. "Lower Extremity Limb Salvage with Cross Leg Pedicle Flap, Cross Leg Free Flap, and Cross Leg Vascular Cable Bridge Flap." Journal of Reconstructive Microsurgery 34, no. 07 (2018): 522–29. http://dx.doi.org/10.1055/s-0038-1641712.

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Background Lower extremity salvage following significant soft tissue loss can be complicated by lack of recipient vessel for free tissue transfer. We describe our experience in lower limb salvage for patients with no recipient vessels with the use of pedicle, free and cable bridge flaps. Methods A retrospective review from 1985 to 2017 of patients undergoing lower limb salvage using a contralateral pedicle cross leg (PCL) flaps, free cross leg (FCL) flaps, or free cable bridge (FCB) flaps was conducted. Demographics, etiology of the reconstruction, type of flap used, donor-site vessels, defect

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Leggett, Heather, Arabella Scantlebury, Hemant Sharma, Catherine Hewitt, Melissa Harden, and Catriona McDaid. "Quality of life following a lower limb reconstructive procedure: a protocol for the development of a conceptual framework." BMJ Open 10, no. 12 (2020): e040378. http://dx.doi.org/10.1136/bmjopen-2020-040378.

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IntroductionLower limb conditions requiring reconstructive surgery can be either congenital or acquired from trauma, infection or other medical conditions. Patient-reported outcome measures (PROMs) are often used by healthcare professionals to assess the impact of a patient’s condition (and treatment) on quality of life. However, we are not aware of any measures developed specifically for people requiring lower limb reconstructive surgery. Consequently, it is not clear the extent to which current PROMs accurately and specifically measure the outcomes that are important to these patients.Method

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Prakash, Om, Sheikh Sarfraz Ali, Mohammed Fahud Khurram, and Mohd Yaseen. "Reverse Sural Artery Flap – A Versatile Option in Distal Lower-limb Reconstruction." Journal of Orthopedics, Traumatology and Rehabilitation 16, no. 1 (2024): 20–23. http://dx.doi.org/10.4103/jotr.jotr_1_24.

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Abstract Background: The biggest barriers to the reconstruction of soft-tissue defect in the distal part of the lower limb are the paucity of local vascularized soft tissue and the mechanical demands of the region. Advancements in microsurgery techniques and low complication rates have made free tissue transfer the method of choice. However, the option of microsurgery may not be available at all centers. The reverse sural artery flap (RSAF) provides a reliable alternative for covering soft-tissue defects of the distal parts of the lower extremity. Objective: The aim of this study was to assess

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MACEDO, JEFFERSON LESSA SOARES, SIMONE CORRÊA ROSA, DANIEL LOBO BOTELHO, CLENDES PEREIRA DOS SANTOS, MURILO NEVES DE QUEIROZ, and TABATHA GONÇALVES ANDRADE CASTELO BRANCO GOMES. "Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital." Revista do Colégio Brasileiro de Cirurgiões 44, no. 1 (2017): 9–16. http://dx.doi.org/10.1590/0100-69912017001003.

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ABSTRACT Objective: to evaluate the management of lower limbs complex traumatic injuries by analyzing their characteristics, types, conduct and evolution, with emphasis on surgical treatment. Methods: we conducted a prospective study of patients treated by Plastic Surgery at a regional hospital of the Federal District during a one-year period. We collected data through serial evaluations and telephone contact records. Results: we studied 40 patients, with a mean age of 25.6 years, predominantly male (62.5%). The most frequent wounds were of the distal third of the lower limb (37.5%). Bone or t

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Gantayat, Rajesh, and Satyabrata Routray. "Study of Various Modalities of Management of Lower One-third Leg Defects in a Tertiary Care Hospital." Matrix Science Medica 8, no. 1 (2024): 11–14. http://dx.doi.org/10.4103/mtsm.mtsm_20_23.

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Background: Lower extremity reconstruction is essential to plastic surgery and focuses on treating wounds and defects secondary to trauma, cancer, or chronic disease processes. Anatomical features of the lower third of the leg like subcutaneous bone surrounded by tendons with no muscles and vessels in isolated compartments with little intercommunication between them make the coverage of the wounds in the region a challenging problem. Aim: to study the various modalities of surgical management of lower 1/3rd leg defects. The study also aims to study the defect size and region in planning variou

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Kondra, Katelyn, Christian Jimenez, Eloise Stanton, Idean Roohani, Jake Becerra, and Joseph Carey. "Soleus muscle flap for reconstruction of lower extremity trauma. Workhorse or glue factory?" Plastic and Aesthetic Research 9, no. 5 (2022): 36. http://dx.doi.org/10.20517/2347-9264.2021.121.

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Aim: Soleus muscle flaps have traditionally been a reliable tool in the plastic surgeon’s armamentarium for lower extremity reconstruction and limb salvage. In the modern era, many surgeons prefer free flaps. This study sought to evaluate trends and outcomes of soleus flap reconstruction after lower extremity injury in a large cohort at a Level 1 trauma center. Methods: This is an Institutional Review Board -approved, retrospective chart review that was undertaken at Los Angeles County + University of Southern California Medical Center from 2007 to 2021. Patient demographics, Gustilo-Anderson

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Bray, Emily, Breanne Everett, Alexa Mouawad, A. Robertson Harrop, and Carmen Brauer. "Use of the SurroSense Rx System for Sensory Substitution of the Insensate Plantar Foot Resurfaced With Latissimus Dorsi Muscle Free Flap and Skin Graft." Plastic Surgery Case Studies 3 (June 28, 2017): 2513826X1771645. http://dx.doi.org/10.1177/2513826x17716456.

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Degloving injuries of the foot pose an important challenge to the reconstructive surgeon. Key features of reconstruction include sensibility, stability, and durability. Preservation of plantar sensibility is considered to be a critical factor in the evaluation of lower extremity trauma, with its absence once being considered an indication for amputation. However, recent studies show that outcomes following limb preservation are not as adversely affected by a lack of plantar sensation than was once thought. With the increasing practice pattern of attempting limb salvage in the face of impaired

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Wang, Ellen, Jessica R. Nye, Imran Rizvi, et al. "Arterial Anastomosis to Injured Vessels: Outcomes in Lower Extremity Trauma Reconstruction." Plastic and Reconstructive Surgery - Global Open 13, no. 7 (2025): e6995. https://doi.org/10.1097/gox.0000000000006995.

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Background: Although traditional teaching advocates that microsurgical anastomoses should be performed to uninjured vessels outside the zone of injury (ZOI), there is no defined way to assess the extent of the ZOI, and uninjured vessels may not be available. To evaluate the complications ascribed to the ZOI and injured vessels, outcomes between arterial anastomoses fashioned from within the ZOI versus noninjured recipient vessels were compared. Methods: A retrospective review was conducted of adult patients who required lower extremity free flap (FF) reconstruction from 2016 to 2024. Injury to

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Cabrera Rodríguez, Deborah, Stefano Chiappini Zayas, and Amanda López Reyes. "Necrotizing fasciitis secondary to crush trauma." South Health and Policy 4 (April 23, 2025): 207. https://doi.org/10.56294/shp2025207.

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Introduction: Necrotizing fasciitis is a devastating acute bacterial infection that affects the superficial and deep fascia, subcutaneous tissue, and, in severe cases, vascular and nervous structures. Although rare, its incidence has increased in recent years.Objective: To describe the successful therapeutic management of a case with Necrotizing fasciitis.Case report: A 21-year-old male patient with PPA due to a sella turcica tumor and epilepsy, for which he reports no treatment. He presented to the Emergency Department of Miguel Enríquez Hospital with pain in his right lower limb and a foul o

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