scholarly journals Perforator flaps for reconstruction of lower limb defects

2016 ◽  
pp. 2109-2114 ◽  
Author(s):  
Mir Yasir ◽  
Adil Wani ◽  
Haroon Zargar
Keyword(s):  
Lower Limb ◽  
Perforator Flaps ◽  
Limb Defects

scholarly journals Limb Salvage Using Combined Linking Perforator Free Flaps

2019 ◽  
Vol 19 (1) ◽  
pp. 44-50
Author(s):  
Youn Hwan Kim ◽  
Gyeong Hoe Kim ◽  
Georgios Pafitanis ◽  
Rob Miller ◽  
Sang Wha Kim
Keyword(s):  
Lower Limb ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Perforator Flaps ◽  
Limb Defects ◽  
One Stage ◽  
Anterolateral Thigh ◽  
Anterolateral Thigh Flaps ◽  
Artery Perforator

Microsurgical free tissue transfer is the most effective method for extensive reconstruction of lower limb defects. The purpose of this report is to describe our experience of using microsurgically fabricated combined linking perforator flaps for one-stage reconstruction of extensive lower limb defects. Between April 2008 and November 2016, 16 cases of extensive lower defects were reconstructed using combined linking flaps. Of the patients, 10 were males, and the mean age was 45.3 years (range = 20-76 years). The flaps used were thoracodorsal artery perforator flaps together with deep inferior epigastric artery perforator flaps or anterolateral thigh flaps. There were no total flap failures; however, 3 anterolateral thigh flaps were partially lost and required skin grafts. One wound disruption healed conservatively. Donor site healing was achieved primarily without any dehiscence. The follow-up period was 15.4 months (range = 8-24 months). The use of combined linking perforator flaps for lower limb defects is uncommon; however, in cases of extensive limb defects these flaps can salvage limbs by means of one-stage operations.

Use of locoregional Perforator Flaps for reconstruction of lower limb defects: Our experience

2021 ◽  
Vol 23 (01) ◽  
pp. 44-60
Author(s):  
Nilesh B. Ghelani ◽  
Sankit D. Shah ◽  
Darshil K. Rajgor ◽  
Hardik Ponkiya ◽  
Chandni Joshi
Keyword(s):  
Lower Limb ◽  
Perforator Flaps ◽  
Limb Defects

Imaging and Surgical Principles of the Propeller and Perforator Flaps of the Lower Limb

2014 ◽  
pp. 609-642
Author(s):  
Emanuele Cigna ◽  
Michele Maruccia ◽  
Alessandro Napoli ◽  
Federico Lo Torto ◽  
Paola Parisi ◽  
...  
Keyword(s):  
Lower Limb ◽  
Perforator Flaps

Retrospective Analysis in Lower Limb Reconstruction: Propeller Perforator Flaps versus Free Flaps

2017 ◽  
Vol 33 (S 01) ◽  
pp. S34-S39 ◽  
Author(s):  
Marta Cajozzo ◽  
Alessandro Innocenti ◽  
Massimiliano Tripoli ◽  
Giovanni Zabbia ◽  
Salvatore D'Arpa ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Retrospective Analysis ◽  
Revision Surgery ◽  
Lower Limb ◽  
Lower Extremities ◽  
Free Flaps ◽  
Soft Tissue Defects ◽  
Perforator Flaps ◽  
Hospitalization Period ◽  
Tissue Defects

Background Technical advancements and increasing experience in the management of soft tissue defects in lower extremities have led to the evolution of decisional reconstructive algorithms. Both propeller perforator flaps (PPFs) and free flaps (FFs) proved to be useful methods of reconstruction for lower extremities defects, offering alternative reconstructive tools. We present a case series of PPFs and FFs for reconstruction of lower limbs defects, analyzing and comparing treatment and outcomes. Methods Through a retrospective analysis, we report our experience in performing PPFs or FFs for reconstruction of soft tissue defects of the lower extremities, in patients admitted between 2010 and 2015 at the Department of Plastic and Reconstructive Surgery, University of Palermo. In these patients, we evaluated location and causes of defects, types of flaps used, recipient vessels, complications, time to healing, and aesthetic outcome. Results A primary healing rate was obtained in 13 patients for PPF and 16 cases for FF. Revision surgery for partial skin necrosis was required in eight cases (PPF: four and FF: four). Recovery time and hospitalization period were eventually shorter in patients with FFs, due to lower rate of complications and revision surgery. Conclusion In the past years, our indications for reconstruction with PPFs in the lower limb have become more restricted, while we favor reconstruction with FFs. Recommendations are provided to orient surgical treatment in small, medium, and large lower limb defects.

Lower limb perforator flaps: Current concept

2020 ◽  
Vol 65 (5-6) ◽  
pp. 496-516
Author(s):  
B. Chaput ◽  
T. Meresse ◽  
F. Bekara ◽  
J.L. Grolleau ◽  
D. Gangloff ◽  
...  
Keyword(s):  
Lower Limb ◽  
Current Concept ◽  
Perforator Flaps

Cadaveric study and clinical application of turnover fascial flap for lower-limb defects

2010 ◽  
Vol 34 (5) ◽  
pp. 387-394
Author(s):  
Visweswar Bhattacharya ◽  
Partha Sarathi Barooah ◽  
Saurabh Rawat ◽  
Gaurab Ranjan Chaudhuri ◽  
Neeraj Kant Agrawal ◽  
...  
Keyword(s):  
Clinical Application ◽  
Lower Limb ◽  
Cadaveric Study ◽  
Limb Defects ◽  
Fascial Flap

Prevalence of Lower Limb Defects in Children in Chosen Kindergartens of the Łódź Agglomeration

2019 ◽  
Vol 21 (6) ◽  
pp. 447-456
Author(s):  
Justyna Gołębiowska-Sosnowska ◽  
Marek Synder ◽  
Piotr Gołębiowski ◽  
Klaudia Wojciechowska ◽  
Jerzy Niedzielski
Keyword(s):  
Early Childhood ◽  
School Children ◽  
Lower Limb ◽  
Body Posture ◽  
Knee Joints ◽  
Study Group ◽  
Valgus Knee ◽  
Limb Defects ◽  
Entire Study ◽  
Visual Method

Background. Posture disorders not treated in early childhood may lead to serious diseases and dysfunctions later. The aim of the study was to assess the incidence of lower limb defects in pre-school children. Material and methods. The study covered 513 children (252 girls and 261 boys) aged 4-6, in chosen kinder­gartens of the Łódź agglomeration . The child’s body posture was assessed using a visual method based on the Kasperczyk scoring scale in own modification. Results. Foot defects occurred in the examined group with a frequency of 85.58% (439/513): in 4-year-olds: 82.59%, in 5- and 6-year-olds: 87.5%. Foot defects were more common in girls in the entire study group (86.9 vs. 84.29%), in 4-year-olds (87.88 vs. 77.45%) and 6-year-olds (88.89 vs. 86.25%), and in boys in the 5-year-olds group (91.14 vs. 83.95%). Defects of the knee joints, including varus and valgus knee, occurred in the study group with a frequency of 52.83% (271/513): in 4-year-olds: 56.72%, in 5-year-olds: 45.63% and in 6-year-olds: 55.26%. Defects were more frequent in girls in the entire study group (54.37 vs. 51.34) and in 4-year-olds (58.59 vs. 54.90%), and in boys in the 5-year-old group (50.63 vs. 40.74%). In the 6-year-olds group, the defects were statistically significantly more common in girls than boys (63.89 vs. 47.5%, p = 0.0442). Conclusion. A high percentage of lower limb defects rate at more than half of the examined pre-school children population is disturbing and requires effective systemic action.

scholarly journals Pedicled Perforator Flaps for the Lower Limb

2006 ◽  
Vol 20 (2) ◽  
pp. 103-111 ◽  
Author(s):  
Omar Quaba ◽  
Awf Quaba
Keyword(s):  
Lower Limb ◽  
Perforator Flaps

scholarly journals A Patient with Unilateral Tibial Aplasia and Accessory Scrotum: A Pure Coincidence or Nonfortuitous Association?

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Zoran Gucev ◽  
Marco Castori ◽  
Velibor Tasic ◽  
Nada Popjordanova ◽  
Arijeta Hasani
Keyword(s):  
Family History ◽  
Literature Review ◽  
Lower Limb ◽  
Maternal Diabetes ◽  
Limb Defects ◽  
Present Patient ◽  
Accessory Scrotum ◽  
Pregnancy And Delivery ◽  
Tibial Aplasia ◽  
Uneventful Pregnancy

Tibial aplasia is an uncommon lower limb malformation that can occur isolated or be part of a more complex malformation pattern. We describe a 9-year-old boy born after uneventful pregnancy and delivery. Family history was negative for maternal diabetes and other malformations. The patient presented with left tibial aplasia and homolateral prexial foot polydactyly. He also displayed enamel dysplasia and bifid scotum with cryptorchidism. Literature review failed to identify a significant syndromic association between lower limb defects of the tibial type and the genital anomalies reported here. The combination of tibial aplasia with midline genital malformations further supports the hypothesis that the tibial ray development mirrors the morphogenetic process of the radial structures. Accordingly, the malformation pattern observed in the present patient may be pathogenetically explained by an insult occurring during late blastogenesis.

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