Bilateral multifocal soft tissue amyloidomas of the lower extremities

Background: In recent years, the composite anterolateral thigh free flap with tensor fasciae latae or vastus lateralis has been a new-applied type of flap that can provide very good reconstruction materials in complex defects of lower leg and foot. The study purpose is to evaluate the systematically complications of donor site, related factors to results of the donor area, in order to apply the result to improve the treatment, which have not been much reported in literature. Materials and Methods: Systematic donor site morbilidy evaluation in a prospective, uncontrolled clinical descriptive study of 33 composite anterolateral thigh free flaps in various forms to reconstruct anatomical structures or to resconstruct deep defects combined with covering the surfaces for complex soft tissue defects in lower extremities for 32 patients due to different causes in lower leg and foot area from 2014-2019 at Hue University of Medicine and Pharmacy. Examining and evaluating aesthetic and functional result of donor-site 3 months and 6 months up to 2 year after surgery; evaluating the correlation between the width and the type of the flaps and donor site closure methods. Result: In 33 composite flaps used, flap width to thigh circumference less than 20% in 27 cases (81.8%), more than 20% in 6 cases (18.20% ); There were 28 cases in which the donor site was directly closed, 5 cases required skin graft; All direct closed cases had flap width/ thigh circumference index below 20%; On the contrary, in cases having this index greater than 20%, the donor site required skin graft with p < 0.01. There are 11/33 (33.33%) of cases reported complications in donor site ; lateral thigh paresthesia is the most complicated complication with 8/33 cases (24.24%), followed by bad scarring 3/33 cases (9.09%). Conclusion: Long term follow up donor site morbility after composite anterior thigh free flap present 11/33 cases (33.33%): mostly complications of the donor site are thigh paresthesia with 8/33 cases (24.24%), and bad scarring 3/33 cases (9,09%), which improve time by time. Keywords: Composite anterior thigh free flap, lower extremities soft tissue defect, donor site morbidity

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Organization of stage rehabilitation of servicemen with gunshot defects of soft tissues at the levels of medical care

Medicni perspektivi (Medical perspectives) ◽

10.26641/2307-0404.2021.4.248228 ◽

2021 ◽

Vol 26 (4) ◽

pp. 188-195

Author(s):

K.D. Babov ◽

I.P. Khomenko ◽

S.V. Tertyshnyi ◽

Babova I.K. Babova I.K. ◽

R.S. Vastianov

Keyword(s):

Surgical Treatment ◽

Soft Tissue ◽

Medical Care ◽

Soft Tissues ◽

Lower Extremities ◽

Gunshot Wounds ◽

Care Quality ◽

Rehabilitation Service ◽

Soft Tissue Defects ◽

Tissue Defects

Building a modern system of rehabilitation of servicemen in Ukraine is an integral part of providing medical care in armed conflict. Rehabilitation of servicemen after gunshot wounds with soft tissue defects of the lower extremities is a common but difficult problem for surgical and rehabilitation teams. The process of rehabilitation requires the implementation of certain methodological provisions. At present, medical care for servicemen is a four-levels’ one. Rehabilitation service is provided at the third and fourth levels of medical care. The aim of the study was to improve the quality of medical care for servicemen after gunshot wounds with soft tissue defects of the lower extremities by introducing a system of staged rehabilitation. Organizational and methodological bases of the system of staged rehabilitation of wounded servicemen with soft tissue defects at different levels of medical care have been developed. Two models of rehabilitation depending on the severity of the injury and the tactics of surgical treatment are proposed. The division of the stage of early sanatorium rehabilitation for the wounded with severe soft tissue injuries depending on the stage of surgical treatment and the formation of a "skin patch" is justified. The introduction of the proposed models of rehabilitation of wounded with soft tissue defects in the practice of early sanatorium rehabilitation will provide increasing of medical care quality.

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Soft tissue coverage of the lower extremities

Plastic & Reconstructive Surgery ◽

10.1097/00006534-197608000-00068 ◽

1976 ◽

Vol 58 (2) ◽

pp. 252

Author(s):

Errikos Constant

Keyword(s):

Soft Tissue ◽

Lower Extremities ◽

Soft Tissue Coverage

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Propeller perforator flaps for coverage of soft tissue defects in the middle and distal lower extremities

Annales de Chirurgie Plastique Esthétique ◽

10.1016/j.anplas.2019.04.002 ◽

2020 ◽

Vol 65 (1) ◽

pp. 54-60 ◽

Cited By ~ 3

Author(s):

M.A. Hifny ◽

A.M.A. Tohamy ◽

O. Rabie ◽

A.A.A. Ali

Keyword(s):

Soft Tissue ◽

Lower Extremities ◽

Soft Tissue Defects ◽

Perforator Flaps ◽

Tissue Defects

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Widely Split Latissimus Dorsi Muscle Flaps for Reconstruction of Long Soft-Tissue Defects in Lower Extremities

Plastic & Reconstructive Surgery ◽

10.1097/00006534-200002000-00036 ◽

2000 ◽

Vol 105 (2) ◽

pp. 706-709 ◽

Cited By ~ 8

Author(s):

Chih-Hung Lin ◽

Fu-Chan Wei

Keyword(s):

Soft Tissue ◽

Latissimus Dorsi ◽

Lower Extremities ◽

Latissimus Dorsi Muscle ◽

Soft Tissue Defects ◽

Muscle Flaps ◽

Dorsi Muscle ◽

Tissue Defects

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

Journal of Reconstructive Microsurgery ◽

10.1055/s-0037-1606268 ◽

2017 ◽

Vol 33 (S 01) ◽

pp. S34-S39 ◽

Cited By ~ 3

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.

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