[Pedicled Flaps in the Reconstruction of Complex Wounds at the Lower Extremity].

Abstract:

:The present refresher article highlights the current role of pedicled flaps in the reconstruction of complex wounds at the lower extremity. Due to the increasing standardization and ongoing improvements in microsurgery and in view of the fact that local tissue limitation and elevated rates of wound healing disorders reduced the attraction of pedicled flaps to the lower extremity, free flaps became a serious alternative. However, in consideration of the individual patient demand pedicled flaps to the lower extremity still have their eligibility and can be superior to free flaps in selected cases. Here we present a short guide for the general use and indications of pedicled flaps particular to the lower extremity and give a detailed overview of five established pedicled flaps. Based on our experience we provide pitfalls and pearls and discuss the reconstructive decision-making in light of the alternative free flap option. :Dieser Artikel beleuchtet den Stellenwert von gestielten Lappenplastiken an der unteren Extremität im Rahmen der regionalen Weichteilrekonstruktion nach Trauma. Die typischen Fallstricke dieser Verfahren sowie Tipps und Tricks zu 5 gängigen gestielten Lappenplastiken werden detailliert dargestellt.

journal_name

Z Orthop Unfall

authors

Schmidt VJ,Kneser U

doi

10.1055/s-0043-124091

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

95-108

issue

1

eissn

1864-6697

issn

1864-6743

journal_volume

157

pub_type

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