Lower Leg Flaps Comparison Between Free Versus Local Flaps

10.5580/35c ◽  
2007 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Lower Leg ◽  
Local Flaps

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.

Reconstruction of the Lower Leg With Percutaneous Aponeurotomy and Lipofilling: A Case Report

2019 ◽  
Vol 18 (3) ◽  
pp. 336-338
Author(s):  
Yooseok Ha ◽  
Hee Sang Yang ◽  
Seung Han Song ◽  
Sang-Ha Oh
Keyword(s):  
Soft Tissue ◽  
Lower Leg ◽  
Tissue Loss ◽  
Local Flaps ◽  
Soft Tissue Defects ◽  
Established Method ◽  
Flap Transfer ◽  
Free Flap Transfer ◽  
Soft Tissue Loss ◽  
Tissue Defects

Soft tissue loss in the lower leg presents a challenge for reconstructive surgeons. When a defect is large, free flap transfer provides a well-established method, but local flaps are more convenient for small to moderately sized soft tissue defects. When a defect is very small, even local flaps are too invasive, leave additional scar, and cause bulky flaps. We present our case aiming to underline the usefulness of percutaneous aponeurotomy and lipofilling in a small lower leg defect with several advantages.

Comparison of standardised lymphoscintigraphic function test and high resolution sonography of the lymphoedema of legs

Phlebologie ◽  
2008 ◽  
Vol 37 (05) ◽  
pp. 247-252 ◽  
Author(s):  
V. S. Brauer ◽  
W. J. Brauer
Keyword(s):  
Lower Leg ◽  
Clinical Findings ◽  
Lower Limbs ◽  
Fatty Tissue ◽  
Qualitative And Quantitative ◽  
Function Test ◽  
Unreliable Method ◽  
Negative Conclusion ◽  
Fine Disperse

SummaryPurpose: Comparison of qualitative and quantitative sonography with the lymphoscintigraphic function test and clinical findings in legs. Patients, methods: In 33 patients a lymphoscintigraphic function test of legs combined with measurement of lymph node uptake was performed and subsequently compared with sonography. Sonographic criteria were: Thickness of cutis, thickness of subcutanean fatty tissue and presence of liquid structures or fine disperse tissue structure of lower limbs, foots and toes. Results: In 51 legs uptake values lie in the pathologic area, in four legs in the grey area and in ten legs in the normal area. The cutis thickness in the lower leg shows no significant correlation with the uptake. The determination of the thickness of the subcutanean fatty tissue of the lower leg and of the cutis thickness of the feet turned out to be an unreliable method. In 47% of the medial lower legs and in 57% of the lateral lower legs with clinical lymphoedema sonography is falsely negative. Conclusion: Early lymphoedema is only detectable with the lymphoscintigraphic function test. In the case of clinical lymphoedema clinical examination is more reliable than sonography.

Maisonneuve fracture

2020 ◽  
Vol 99 (2) ◽  
pp. 77-85
Keyword(s):  
Open Reduction ◽  
Lower Leg ◽  
Fracture Dislocation ◽  
Deltoid Ligament ◽  
Ct Reconstruction ◽  
Distal Fibula ◽  
Ct Examination ◽  
Maisonneuve Fracture ◽  
Fibular Fracture ◽  
Wide Range

Introduction: Maisonneuve fracture (MF) is a generally known entity in ankle trauma. However, details about this type of injury can be found only rarely in the literature. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. Methods: The group comprised 70 patients (47 men, 23 women), with the mean age of 48 years, who sustained an ankle fracture-dislocation involving the proximal quarter of the fibula. Ankle radiographs in three views and lower leg radiographs in two views were performed in all patients. A total of 59 patients underwent CT examination in three views, including 3D CT reconstruction in 49 of these patients. MRI was performed in 4 patients. Operative treatment was used in 67 patients; open reduction of the distal fibula into the fibular notch was opted for in 54 of them. Results: The highest MF incidence rate was recorded in the 5th decade in the whole group and in men, while in women the peak incidence was in the 6th decade. After the age of 50, the share of women significantly increased. In 64 cases, the fibular fracture was subcapital, and in 6 cases it involved the fibular head. In 24% of the patients, the fibular fracture was seen only in the lateral radiograph of the lower leg. Widening of the tibiofibular clear space was shown by radiographs in 40 cases. Posterior dislocation of the fibula (Bosworth fracture) and tibiofibular diastasis were recorded in 2 cases each. An injury to the anterior and posterior tibiofibular ligaments was found in all 54 patients with open reduction of the distal fibula. A fracture of the medial malleolus was identified in 27 cases (39%) and a complete lesion of the deltoid ligament in 36 cases (51%); in 7 cases (10%) the medial structures were intact. A fracture of the posterior malleolus occurred in 54 (77%) patients. Osteochondral fracture of the talar dome was diagnosed in 2 patients and compression of the articular surface of the distal tibia in the region of the fibular notch in 1 patient. Conclusion: Maisonneuve fracture includes a wide range of injuries both to bone and ligamentous structures of the ankle. Therefore, CT examination is an indispensable part of assessment of this type of fracture.

Acute Shortening and Delayed Lengthening in Management of Lower Leg Amputation: A Case Report

2016 ◽  
Vol 25 (2) ◽  
pp. 65-68
Author(s):  
Seung Hoon Kang ◽  
Sung Won Jung ◽  
Jin Woo Jin ◽  
Dong Hee Kim ◽  
Sung Jin Shin ◽  
...  
Keyword(s):  
Case Report ◽  
Lower Leg ◽  
Acute Shortening ◽  
Lower Leg Amputation ◽  
Leg Amputation

A lower leg ulcer caused by an intravenous injection: Report of a case.

1989 ◽  
Vol 51 (1) ◽  
pp. 27-31
Author(s):  
Kikuko HARA ◽  
Noriko IWASE ◽  
Yumiko SEZAI ◽  
Takashi NAGASHIMA
Keyword(s):  
Intravenous Injection ◽  
Lower Leg ◽  
Leg Ulcer

A Case of Methotrexate-associated Lymphoproliferative Disorder Developed as Diffuse Large B Cell Lymphoma on the Lower Leg with Reactivated Epstein-Barr Virus

2018 ◽  
Vol 80 (3) ◽  
pp. 214-218 ◽  
Author(s):  
Naoya MURAYAMA ◽  
Yuta KOIKE ◽  
Noriko TASAKI ◽  
Yutaka KUWATSUKA ◽  
Saori TOMIMURA ◽  
...  
Keyword(s):  
B Cell ◽  
Lymphoproliferative Disorder ◽  
Epstein Barr Virus ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Lower Leg ◽  
Barr Virus ◽  
Large B Cell Lymphoma ◽  
Epstein Barr ◽  
Large B Cell
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