scholarly journals Limb-salvage by Femoro-distal Bypass and Free Muscle Flap Transfer

2004 ◽  
Vol 27 (6) ◽  
pp. 635-639 ◽  
Author(s):  
M. Czerny ◽  
W. Trubel ◽  
D. Zimpfer ◽  
M. Grimm ◽  
R. Koller ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Muscle Flap ◽  
Flap Transfer ◽  
Free Muscle Flap

scholarly journals Simultaneous debridement, Ilizarov reconstruction and free muscle flaps in the management of complex tibial infection

2020 ◽  
Vol 6 (3) ◽  
pp. 63-72
Author(s):  
Max Mifsud ◽  
Jamie Y. Ferguson ◽  
David A. Stubbs ◽  
Alex J. Ramsden ◽  
Martin A. McNally
Keyword(s):  
Muscle Flap ◽  
Tissue Loss ◽  
Bony Union ◽  
Ilizarov Method ◽  
Muscle Flaps ◽  
Flap Transfer ◽  
Non Union ◽  
Free Muscle Flap ◽  
Initial Surgery

Abstract. Chronic bone infections often present with complex bone and soft tissue loss. Management is difficult and commonly delivered in multiple stages over many months. This study investigated the feasibility and clinical outcomes of reconstruction in one stage. Fifty-seven consecutive patients with chronic osteomyelitis (n=27) or infected non-union (n=30) were treated with simultaneous debridement, Ilizarov method and free muscle flap transfer. 41 patients (71.9 %) had systemic co-morbidities (Cierny-Mader group Bs hosts). Infection was confirmed with strict criteria. 48 patients (84.2 %) had segmental defects. The primary outcome was eradication of infection at final follow-up. Secondary outcomes included bone union, flap survival and complications or re-operation related to the reconstruction. Infection was eradicated in 55∕57 cases (96.5 %) at a mean follow-up of 36 months (range 12–146). No flap failures occurred during distraction but 6 required early anastomotic revision and 3 were not salvageable (flap failure rate 5.3 %). Bony union was achieved in 52∕57 (91.2 %) with the initial surgery alone. After treatment of the five un-united docking sites, all cases achieved bony union at final follow-up. Simultaneous reconstruction with Ilizarov method and free tissue transfer is safe but requires careful planning and logistic considerations. The outcomes from this study are equivalent or better than those reported after staged surgery.

scholarly journals Free Flap Transfer with Arteriovenous Loop Establishment for Upper Limb Salvage in a Crush Injury

2018 ◽  
Vol 6 (11) ◽  
pp. e1913 ◽  
Author(s):  
Mohammad S. Radwan ◽  
Ammar Z. Barakat ◽  
Mohammad M. Jaber ◽  
Ashraf A. Mashal
Keyword(s):  
Limb Salvage ◽  
Upper Limb ◽  
Free Flap ◽  
Crush Injury ◽  
Flap Transfer ◽  
Free Flap Transfer ◽  
Arteriovenous Loop

Free flap transfer of the cutaneous maximus muscle in the rat: Comparison to the latissimus dorsi muscle flap

Microsurgery ◽  
1992 ◽  
Vol 13 (4) ◽  
pp. 208-213 ◽  
Author(s):  
Xiaolu Li ◽  
Brian C. Cooley ◽  
Suzann M. Gruel ◽  
Zhong Ye ◽  
John S. Gould
Keyword(s):  
Free Flap ◽  
Latissimus Dorsi ◽  
Muscle Flap ◽  
Latissimus Dorsi Muscle ◽  
Latissimus Dorsi Muscle Flap ◽  
Flap Transfer ◽  
Dorsi Muscle ◽  
Free Flap Transfer

Latissimus Dorsi Flap for Leg Reconstruction

2019 ◽  
pp. 881-890
Author(s):  
Marek K. Dobke ◽  
Gina A. Mackert
Keyword(s):  
Latissimus Dorsi ◽  
Three Dimensional ◽  
Perforator Flap ◽  
Muscle Flap ◽  
Pedicled Flap ◽  
Latissimus Dorsi Flap ◽  
Serratus Anterior ◽  
Flap Transfer ◽  
Thin Skin ◽  
Dissection Techniques

Variants of the latissimus dorsi flap are quite versatile and offer multiple reconstructive options for creative surgeons. The latissimus dorsi flap may be raised as a muscle flap or together with the overlying skin as a musculocutaneous unit. Apart from its use as a pedicled flap or for microvascular free flap transfer, the latissimus dorsi can be raised with portions of ribs and may include the serratus anterior muscle. Different customized chimeric (muscle and perforator flap) or perforator flap techniques find application for repair difficult with large three-dimensional defects or when large and thin, skin-only tissue is needed, respectively. Different designs of the flap, dissection techniques, and flap variant applications in the context of a systematic approach to reconstructive problems are described.

Sign in / Sign up

Export Citation Format

Share Document