Free Tissue Transfer for Patients with Chronic Lower Extremity Wounds.

Jenna C Bekeny, Elizabeth G Zolper, John S Steinberg, Christopher E Attinger, Kenneth L Fan, Karen K Evans

Journal: Clinics in plastic surgery 2021;48(2):321-329

PMID: 33674053

Full Text on Elsevier Science View on PubMed

Abstract

["Chronic lower extremity wounds are defined as wounds that fail to heal within 3\u00a0months of defect onset. Free tissue transfer offers an opportunity for limb salvage and length preservation. Preoperative optimization includes a medical and nutritional consult, complete work-up by vascular surgery, and an analysis of bony stability and gait biomechanics by podiatric surgery. In the authors' practice, the thigh has proved the workhorse donor site and offers fasciocutaneous and muscle-based flaps depending on defect characteristics. Postoperative care requires early monitoring for flap compromise and continued long-term follow-up for wound recurrence.",{"copyright":"Copyright \u00a9 2021 Elsevier Inc. All rights reserved."}]

Address: Department of Plastic Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road Northwest, First Floor PHC Plastic Surgery, Washington, DC 20007, USA. Electronic address: https://twitter.com/JBekeny.; Department of Plastic Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road Northwest, First Floor PHC Plastic Surgery, Washington, DC 20007, USA. Electronic address: https://twitter.com/ezolper.; Department of Plastic Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road Northwest, First Floor PHC Plastic Surgery, Washington, DC 20007, USA.; Department of Plastic Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road Northwest, First Floor PHC Plastic Surgery, Washington, DC 20007, USA. Electronic address: https://twitter.com/KenFanMD.; Department of Plastic Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road Northwest, First Floor PHC Plastic Surgery, Washington, DC 20007, USA. Electronic address: [email protected].

DOI: 10.1016/j.cps.2021.01.004

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MeSH Terms: Chronic Disease, Female, Humans, Leg Injuries, Limb Salvage, Lower Extremity, Male, Middle Aged, Patient Care Planning, Preoperative Care, Plastic Surgery Procedures, Surgical Flaps, Thrombophilia, Wound Healing