Brisement and Related Procedures
Brisement and Related Procedures Stuart H. Myers Lew C. Schon BACKGROUND Brisement (French: “breaking”) is the lysis of adhesions around a tendon by high-pressure fluid injection. It is distinct from…
20 A New Concept in Drop Foot Treatment: Ninkovic’s Technique—the Neuromusculotendinous Gastrocnemius Transfer
Milomir Ninkovic, Alexander De Heinrich, and Marina Ninkovic Summary A “drop foot” deformity may be due to peroneal nerve injury or muscle damage of the anterior and/or lateral compartments. When…
15 Basic Local Perforator Flaps of the Lower Extremity
Geoffrey G. Hallock, Mouchammed Agko, Hung-Chi Chen, S. Raja Sabapathy, Hari Venkatramani, and Madhu Periasamy Summary Some consider a perforator flap to be a variant of a fasciocutaneous flap that…
23 Bone Flaps and Bone Transport for Lower Limb Reconstruction
Matthew Iorio, Stephen Andrew Sems, and Steven L. Moran Summary Bone defects of greater than 5 cm are best managed with vascularized bone flaps. The fibula has remained the most…
22 Procurement of Thin Flaps as Indicated in the Lower Extremity
Joon Pio Hong Summary Elevation on the superficial fascia (super-thin) is a new approach for elevating flaps. It has advantages such as providing a thin flap allowing increased versatility to…
25 Lower Limb Vascularized Composite Allotransplantation
Pedro C. Cavadas Summary Lower limb vascularized composite allotransplantation (VCA) is not immunologically different from solid organ transplantation; so any recipients will require lifelong immune suppression (IS) to prevent rejection,…
26 Perioperative Care and Rehabilitation Specific to the Lower Limb
Manas Nigam, Michael V. Defazio, and Karen K. Evans Summary The lower extremity is subject to unique stresses and pathophysiologies that make reconstruction, particularly with free tissue, a challenging but…
16 Common Versatile Free Flaps for the Lower Extremity
Geoffrey G. Hallock, Waleed Gibreel, Karim Bakri, and Samir Mardini Summary Few would argue that the lower extremity might be the most difficult body region to resurface not just due…
21 Modern Concepts of Prosthetic Rehabilitation in Amputation of the Lower Extremity
Stefan Salminger, Clemens Gstoettner, Agnes Sturma, and Oskar C. Aszmann Summary Targeted muscle reinnervation offers a proven method for the treatment of amputation-related pain in lower limb amputees. It is…
24 Surgical Treatment for Lower Extremity Lymphedema
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…
