18 Diabetic Foot Reconstruction
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…
17 Supermicrosurgery Approach to the Lower Limb
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…
7 Using the Flap and Angiosome Concepts to Optimize Functional Lower Leg and Foot Amputations
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…
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…
