Isao Koshima, Hirofumi Imai, Shuhei Yoshida, Shogo Nagamatsu, Kazunori Yokota, Mitsunobu Harima, Shuji Yamashita, and Haruki Mizuta Summary Physiologic surgical treatment for lymphedema includes lymphovenous anastomosis, lymph node transfers, and…
Joon Pio Hong Summary The ideal reconstruction of sole should lead to optimal functional and aesthetic results, achieving durable coverage for weight bearing, adequate contour for footwear, protective sensation, and…
Joon Pio Hong Summary The treatment of diabetic foot ulceration is complex with multiple considerations and unfortunately often leads to amputation. A multidisciplinary approach along with an algorithm to manage…
Joon Pio Hong Summary Supermicrosurgery is manipulating vessels with diameters less than 0.8 mm. In flap surgery, this approach will allow an increase in the selection of recipient pedicles by…
Christopher Attinger Summary The key factor when considering salvage or amputation of the lower leg or foot is to optimize the functional result appropriate for the age and activity level…
Geoffrey G. Hallock Summary Outcome studies of functional lower limb salvage cite no difference if a muscle or cutaneous flap were used. Muscle flaps will never be obsolete, inarguably when,…
Alison Wong and Steven F. Morris Summary Before choosing an appropriate flap donor site or recipient vessels in lower extremity reconstruction, if needed, the latter’s vascular architecture and general pattern…
Geoffrey G. Hallock reconstructive ladder – reconstructive elevator – reconstructive matrix – expanded zone concept – chimeric flap 13 The Process for Flap Selection by Region of the Lower Extremity…
Hyunsuk Peter Suh Summary The evolution of wound closure techniques has introduced different alternative methods of closing the skin. Although skin graft and flaps are the main techniques of wound…
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…
