The use of free flaps in the treatment of severe lower leg trauma

1992 ◽  
Vol 15 (2) ◽  
pp. 63-68 ◽  
Author(s):  
W. Boeckx ◽  
P. H. Blondeel ◽  
D. Van Raemdonck ◽  
P. Broos ◽  
P. Rommens
Keyword(s):  
Free Flaps ◽  
Lower Leg ◽  
Lower Leg Trauma

scholarly journals Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
F. Contedini ◽  
L. Negosanti ◽  
E. Fabbri ◽  
V. Pinto ◽  
B. Tavaniello ◽  
...  
Keyword(s):  
Free Flap ◽  
Latissimus Dorsi ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Lower Leg ◽  
Salvage Procedure ◽  
Soft Tissue Defects ◽  
Vascular Thrombosis ◽  
Flap Failure ◽  
Tissue Defects

Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible option. We report a case of a male with a severe posttraumatic wound of the lower leg with exposed tibia fracture firstly treated with two consecutive latissimus dorsi muscular free flaps, failed for vascular thrombosis; the coverage was then achieved with a cross-leg flap with acceptable results.

scholarly journals Possibility of management of lower leg war burns with free flaps

2003 ◽  
Vol 60 (6) ◽  
pp. 741-745 ◽  
Author(s):  
Ljubomir Panajotovic ◽  
Jefta Kozarski ◽  
Snezana Krtinic-Rapaic ◽  
Bojan Stanojevic
Keyword(s):  
Wound Closure ◽  
Free Flaps ◽  
Lower Leg ◽  
The Other ◽  
Wound Treatment ◽  
Necrotic Tissue ◽  
Local Flaps ◽  
Reconstructive Procedures ◽  
Military Medical Academy ◽  
Medical Academy

Free flaps are used in the surgical treatment of burns for wound closure where the burn is too deep, and in case, when after necrotic tissue excision, the bones, tendons, nerves, and blood vessels remain bare. Covering of the exposed structures is commonly performed in the primary delayed, or in the secondary wound treatment. The possibilities of covering the defects of the lower leg with local flaps are limited. Free flaps are used when all the possibilities of the other reconstructive procedures have been exhausted. The defect of the soft tissue of the lower leg was covered with free flaps in the injured soldiers with deep burns, treated at the Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade. In one patient the wound closing was performed immediately after excision of necrotic tissues, and in the other two in the secondary management. The application of free microvascular flaps enabled the closure of large post excision defects of the lower leg in one operation. Our experience in the treatment of these soldiers point to the possibility of coverage of the exposed deep structures with free flaps as early as possible.

Treatment of Complex War Wounds of the Lower Leg with Free Flaps and Ilizarov Method - Our Experience

2014 ◽  
Vol 30 (S 01) ◽  
Author(s):  
N. Ostojic ◽  
J. Kozarski ◽  
M. Košuti ◽  
B. Djordjevic
Keyword(s):  
Free Flaps ◽  
Lower Leg ◽  
Ilizarov Method ◽  
War Wounds

scholarly journals Double free-flap for a bimalleolar defect of lower leg and ankle

2016 ◽  
Vol 49 (01) ◽  
pp. 95-98
Author(s):  
Naren Shetty ◽  
Narendra S. Mashalkar ◽  
Sunder Raj Ellur ◽  
Karishma Kagodu
Keyword(s):  
Donor Site ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Lower Leg ◽  
Donor Site Morbidity ◽  
The Other ◽  
Limb Ischaemia ◽  
Distal Limb ◽  
Limb Defects ◽  
Recipient Vessel

ABSTRACTDouble free-flaps are necessary when tissue cover cannot be sufficed with a single flap. The other factors to be considered when using two free flaps for resurfacing of distal limb defects are the availability of more than one recipient vessel, the risk of distal limb ischaemia and the donor site morbidity of double flap harvest. If these factors are adequately addressed, double free-flaps can be safely executed for resurfacing distal limb defects with minimal morbidity. We report the simultaneous harvest and transfer of the anterolateral and anteromedial thigh flaps inset and vascularised as double free-flaps to resurface a large bimalleolar defect in a 14-year-old boy with no additional morbidity as compared to that of a single free tissue transfer.

CLIPPED MICROVASCULAR ANASTOMOSES IN LOWER-LEG FREE FLAPS

2003 ◽  
Vol 111 (5) ◽  
pp. 1771-1772 ◽  
Author(s):  
Clark J. Zeebregts
Keyword(s):  
Free Flaps ◽  
Lower Leg

scholarly journals Regional analgesia for lower leg trauma and the risk of acute compartment syndrome

Anaesthesia ◽  
2021 ◽  
Author(s):  
M. H. Nathanson ◽  
W. Harrop‐Griffiths ◽  
D. J. Aldington ◽  
D. Forward ◽  
S. Mannion ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Lower Leg ◽  
Acute Compartment Syndrome ◽  
Regional Analgesia ◽  
Lower Leg Trauma
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