11 The Pertinence of the Reconstructive Ladder and the Reconstructive Elevator
Patrick L. Reavey and Lawrence J. Gottlieb Summary If the goal in salvaging a lower limb were to just close the wound, then the stepwise approach beginning at the bottom…
10 General Wound Preparation and Timing
Casey T. Kraft, Ibrahim Khansa, and Jeffrey E. Janis Summary With few exceptions, the lower extremity defect is rarely suitable for reconstruction at the time of initial presentation. Preoperative patient…
9 Importance of Vascularity and Selecting the Recipient Vessels in Lower Extremity Reconstruction
Joon Pio Hong, Changsik John Park, and Peter Suh Summary Successful lower extremity reconstruction using free flaps begins by identifying a good recipient vessel and understanding the surrounding environment of…
5 Surgical Approach to Pediatric Bone and Soft-Tissue Tumors of the Lower Extremity
Rachel M. Clancy, Karen W. Wong, and Ronald M. Zuker Summary Sarcomas are a diverse class of malignant tumors originating from mesenchymal tissues such as bone, cartilage, muscle, blood vessels,…
6 Spare-Part Surgery
Marco Innocenti, Eric Santamaria, and Young Chul Suh Summary The use of discarded tissue for reconstruction is referred to as “spare-part surgery.” It is an important strategy to utilize tissue…
2 Assessment of the Normal and Impaired Lower Extremity
Rachel M. Clancy and Ronald M. Zuker Summary Before embarking on any lower extremity treatment intervention, not only must an accurate hands-on physical examination be performed but an in-depth history…
1 Our Introduction to Lower Extremity Reconstruction
Joon Pio Hong and Geoffrey G. Hallock Summary For a myriad of reasons, the lower extremity may be considered the most challenging of all body regions to reconstruct. Do not…
4 Orthopaedic Evaluation of the Lower Extremity and the Concept of the Orthoplastic Approach
Shaun D. Mendenhall, Nicole A. Zelenski, Oded Ben-Amotz, Stephen J. Kovach, and L. Scott Levin Summary If salvage of a lower extremity is the chosen path, any reconstruction will require…
3 Indications for Vascular Intervention in Lower Extremity Reconstruction
David L. Colen and Lawrence B. Colen Summary Proper initial assessment of the peripheral vascular status of the impaired lower limb should never be overlooked, as a balance between the…
Chapter 25 – Biomechanics Structured SBA
Abstract Biomechanics Structured SBA Questions Chapter 25 Biomechanics Structured SBA Edward Jeans and Richard Hutchinson Biomechanics Structured SBA Questions 1. When stabilising a middiaphyseal femoral fracture using an intramedullary nail,…
