14 The Basic Practical Lower Limb Muscle Local Flaps
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,…
8 Vascular Anatomy of the Lower Extremity: A Practical Guide to Vascular Territories, Perforators, and Selection of Recipient Vessels
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…
13 The Process for Flap Selection by Region of the Lower Extremity
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…
12 Nonflap Wound Closure Alternatives: Skin Graft, Skin Substitute, Skin Stretch, and Negative-Pressure Wound Therapy
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…
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…
