Ossification of the Vascular Pedicle After Microsurgical Soft Tissue Transfer of the Lateral Upper Arm Free Flap

2019 ◽  
Vol 83 (6) ◽  
pp. e39-e42
Author(s):  
Philipp Jehn ◽  
Rüdiger Zimmerer ◽  
Jan Dittmann ◽  
Mykola Fedchenko ◽  
Nils-Claudius Gellrich ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Vascular Pedicle ◽  
Upper Arm ◽  
Tissue Transfer

Microsurgical reconstruction of the upper limb

2021 ◽  
pp. 385-392
Author(s):  
Alex E. Hamilton
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Free Flap ◽  
Free Tissue Transfer ◽  
Bone Defects ◽  
Nerve Reconstruction ◽  
Microsurgical Reconstruction ◽  
Tissue Transfer ◽  
Toe Transfer

This chapter describes the microsurgical options for reconstruction of the hand, including replantation of amputated parts, nerve reconstruction, and free tissue transfer for reconstruction. The various free flap options for reconstruction of skin, soft tissue, and bone defects including the reconstruction of digits with toe transfer, are discussed.

Neurotized Free Tissue Transfer for Foot Reconstruction: A Systematic Review

2019 ◽  
Vol 36 (01) ◽  
pp. 032-040 ◽  
Author(s):  
Jacob R. Rinkinen ◽  
Shawn Diamond ◽  
Jonathan Lans ◽  
Curtis L. Cetrulo ◽  
Kyle R. Eberlin
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Activities Of Daily Living ◽  
Free Flap ◽  
Daily Living ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Ulcer Formation ◽  
Soft Tissue Reconstruction ◽  
Tissue Transfer

Background Soft tissue reconstruction of the foot represents a complex reconstructive challenge given the unique anatomical properties of the glabrous plantar skin. For large soft tissue defects and/or complex injuries, free tissue transfer is often the optimal reconstructive modality. The decision to pursue a neurotized free flap remains controversial and an area of debate. Given the trend toward increasing use of neurotized free flaps, we performed a systematic review to determine if nerve coaptation is a beneficial adjunct to free tissue transfer. Methods A systematic search of the English literature using PubMed and Web of Science was performed. Studies were identified between 1985 and 2018. Manuscripts were eligible if they contained original clinical outcomes research of patients who underwent free tissue transfer to the foot or heel with neurotization. Results A total of 189 studies were identified with initial screening and 19 studies were included in our analysis. A total of 175 patients underwent free flap reconstruction to the foot; of these, 107 patients had a nerve coaptation performed. Patients who underwent neurotization had improved sensory characteristics (two-point discrimination, light touch, and pain sensation), quicker return to ambulation and activities of daily living, and decreased ulcer formation compared with those who did not. Overall complications were infrequent, with ulceration being the most common. Conclusion Neurotized free flaps appear to have an overall decreased rate of ulceration, improved sensory discrimination, and quicker return to ambulation/activities of daily living in comparison to nonneurotized free flaps. However, when examining free anterolateral thigh (ALT) and free medial plantar artery (MPA) fasciocutaneous flaps, durability (i.e., frequency of ulcer formation) and functionality (ambulation and return to activities of daily living) do not appear to be significantly different between neurotized and nonneurotized flaps.

scholarly journals Free Flap Reconstruction after Complications of Total Ankle Arthroplasty: Case Series and Review of the Literature

2018 ◽  
Vol 03 (01) ◽  
pp. e13-e20
Author(s):  
Jocelyn Lu ◽  
Tammer Elmarsafi ◽  
John Steinberg ◽  
Paul Kim ◽  
Christopher Attinger ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Case Series ◽  
Free Tissue Transfer ◽  
Total Ankle Arthroplasty ◽  
Anterior Tibial Artery ◽  
Ankle Arthroplasty ◽  
Tissue Transfer ◽  
Anterior Tibial

Background Postoperative complications of total ankle arthroplasty (TAA) include anterior surgical site dehiscence, hardware failure, infection, and amputation. Early intervention with free flap may provide TAA salvage. We report the largest series of failed TAA require microsurgical free tissue transfer, identify risk factors, and examine the long-term post-free flap outcomes. Materials and Methods This is a case series of consecutive patients from a single institution dedicated to limb salvage. Inclusion criteria included patients who underwent TAA with complications related to the index surgery and underwent microsurgical free tissue transfer. Nine patients were identified within the inclusion parameters. Results Patients presented with osteomyelitis 4 (44%), soft tissue infections 4 (44%), and wound dehiscence 1 (11%) following TAA. Three (33%) radial forearm free flaps and six (67%) anterolateral thigh flaps were used, with a 100% microsurgical success rate. Preoperative angiography revealed six (67%) patients with anterior tibial artery occlusion at the level of the ankle or below. Patients required an average of 2.7 ± 1 (range 1–4) operative débridements prior to free flap, with successful flap outcome and return to full weight bearing status in nine (100%) patients. The mean long-term lower extremity functional scale score was 62 out of 80 points. Conclusion Microsurgical free tissue transfer is an effective and favorable strategy to attain a stable soft tissue envelope for patients presenting with surgical site complications following TAA. We recommend early involvement with plastic surgery and endovascular angiography to evaluate the integrity of the anterior tibial artery.

scholarly journals Use of modified lateral upper arm free flap for reconstruction of soft tissue defect after resection of oral cancer

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Xu-Dong Yang ◽  
Su-Feng Zhao ◽  
Qian Zhang ◽  
Yu-Xin Wang ◽  
Wei Li ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Oral Cancer ◽  
Free Flap ◽  
Soft Tissue Defect ◽  
Upper Arm ◽  
Tissue Defect

The Upper Arm Free Flap

1982 ◽  
Vol 9 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Ruyao Song ◽  
Yeguang Song ◽  
Yuseng Yu ◽  
Yeliang Song
Keyword(s):  
Free Flap ◽  
Upper Arm

A Practical Tip for Marking the Vascular Pedicle of a Free Flap

2020 ◽  
Author(s):  
Ahmed Emam ◽  
Giulia Colavitti ◽  
Thomas Chapman ◽  
Thomas Wright ◽  
Umraz Khan
Keyword(s):  
Free Flap ◽  
Vascular Pedicle

Heterodigital Free Flap of Index Finger Amputee for Coverage of the Long Finger Soft Tissue Defect

2013 ◽  
Vol 22 (2) ◽  
pp. 82-85 ◽  
Author(s):  
So-Min Hwang ◽  
Jang Hyuk Kim ◽  
Hong-Il Kim ◽  
Yong-Hui Jung ◽  
Hyung-Do Kim
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Index Finger ◽  
Soft Tissue Defect ◽  
Tissue Defect

Maxillofacial Bony Considerations in Facial Transplantation

2021 ◽  
Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy
Keyword(s):  
Soft Tissue ◽  
Current Literature ◽  
Preoperative Planning ◽  
Surgical Anatomy ◽  
The Past ◽  
Facial Transplantation ◽  
Tissue Transfer ◽  
Reconstructive Ladder ◽  
The Face ◽  
Facial Wounds

AbstractAlloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.

scholarly journals Facial Nerve Reconstruction with Free Vascularized Composite Nerve Flap from Intrapetrous Portion to Terminal Branches—Case Report

2021 ◽  
Author(s):  
Pedro C. Cavadas ◽  
Magdalena Baklinska
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Facial Nerve ◽  
Free Flap ◽  
Nerve Reconstruction ◽  
Nerve Stump ◽  
Stylomastoid Foramen ◽  
Facial Nerve Reconstruction ◽  
Delayed Reconstruction

AbstractThe case presented here is a delayed reconstruction of a facial nerve defect after radical parotidectomy without a useful nerve stump at the stylomastoid foramen. A composite free flap was used to reconnect the nerve’s intrapetrous portion to the peripheral branches and reconstruct the soft-tissue deficit.

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