A review of local and regional flaps for distal leg reconstruction.

Abstract:

:Reconstruction of defects or wounds of the distal third of the leg with exposed bone, tendon, or hardware is challenging. Free tissue transfer has allowed limb salvage in many cases but requires a relatively healthy and stable patient, long operative times, and a significant expense. Small and moderate-size wounds of the distal leg may be better served by the use of local and regional flaps. Due to a better understanding of leg vascular anatomy and angiosomes, as well as more sophisticated and varied flap designs, local and regional flaps have been described and successfully used in distal leg wounds. The goal is choosing the most appropriate flap given the patient's anatomy and wound characteristics. The following review will detail the available local and regional flaps for reconstruction of the distal third of the leg with an emphasis on decision making, anatomy, flap design, and technique.

journal_name

J Reconstr Microsurg

authors

Parrett BM,Talbot SG,Pribaz JJ,Lee BT

doi

10.1055/s-0029-1223847

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

445-55

issue

7

eissn

0743-684X

issn

1098-8947

journal_volume

25

pub_type

杂志文章,评审
  • Nerve regeneration in rat composite-tissue allografts.

    abstract::Reinnervation of composite-tissue allografts was examined in a rat hind-limb transplant model under Cyclosporin A (CyA) immunosuppression. Two groups of animals were studied. Group 1 consisted of 10 composite-tissue allografts using inbred Fisher rats (F344) as recipients and inbred Lewis rats (LEW) as donors. Recipie...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006787

    authors: Maeda N,Ishiguro N,Inoue G,Miura T,Sugimura K

    更新日期:1991-10-01 00:00:00

  • Mechanical Allodynia Predicts Better Outcome of Surgical Decompression for Painful Diabetic Peripheral Neuropathy.

    abstract:BACKGROUND: To determine the role of mechanical allodynia (MA) in predicting good surgical outcome for painful diabetic peripheral neuropathy (DPN). MATERIALS AND METHODS: Data of 192 patients with painful DPN were collected in this study, with 148 surgical patients and 44 patients in the control group. Both groups we...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0038-1636938

    authors: Liao C,Nickerson DS,Visocchi M,Yang M,Liu P,Zhong W,Zhou H,Zhang W

    更新日期:2018-07-01 00:00:00

  • Breast reconstruction with the free TRAM flap after breast cancer surgery.

    abstract::The authors' experiences with 34 free lower TRAM flap transfers, in which 19 primary reconstructions and 15 secondary reconstructions were successfully achieved, are reviewed. The free TRAM flap yielded better results than the pedicled TRAM flap in cases where reconstruction of the infraclavicular and anterior axillar...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006676

    authors: Yamada A,Harii K,Hirabayashi S,Kawashima T,Asato H

    更新日期:1992-01-01 00:00:00

  • Transmidline abdominal skin flap model in pig: refinements and advancements.

    abstract::Abdominal flaps have recently gained considerable popularity in breast reconstruction, and their importance and advantages have been widely accepted. Given the unreliability of the distal parts in these flaps and the advancement of microsurgery, many modifications and improvements have been made. To get a better under...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1289162

    authors: Minqiang X,Jie L,Dali M,Lanhua M

    更新日期:2012-02-01 00:00:00

  • The Role of Duplex Ultrasound in Microsurgical Reconstruction: Review and Technical Considerations.

    abstract:BACKGROUND: With the technological advances, microsurgery has evolved to the era of supermicrosurgery since its inception. With the popularization of these flaps, proficiency in using tools such as color Doppler ultrasound (CDU) has become crucial. Despite the increased interest, studies regarding the role of ultrasoun...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1709479

    authors: Cho MJ,Kwon JG,Pak CJ,Suh HP,Hong JP

    更新日期:2020-09-01 00:00:00

  • Carpal tunnel syndrome in long-term hemodialyzed patients.

    abstract::The etiopathology, clinical features, and treatment of carpal tunnel syndrome (CTS) in long-term hemodialyzed patients, are discussed in the light of new clinical findings. Conclusions summarizing the specific characteristics of CTS in hemodialyzed patients include the following. 1) There is a relatively equal sex rat...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006856

    authors: Corradi M,Paganelli E,Pavesi G

    更新日期:1989-04-01 00:00:00

  • Free vascularized fibular graft vs. Ilizarov method for post-traumatic tibial bone defect.

    abstract::From 1991 to 1996, four free vascularized fibular grafts (FVFG) and four callus distraction (CD) techniques were performed for post-traumatic tibial defects at the authors' institute. They attempted to discern any differences of results between FVFGs and CDs for post-traumatic tibial defects. The mean defect length of...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2001-12684

    authors: Yokoyama K,Itoman M,Nakamura K,Tsukamoto T,Saita Y,Aoki S

    更新日期:2001-01-01 00:00:00

  • Tissue expansion of free and pedicled flaps after transfer: possibilities and indications.

    abstract::Tissue expansion in combination with flap transfer has been widely reported as preexpansion of flaps, but only once as expansion of a free flap after transfer. Three free flaps and one pedicled flap were expanded after transfer. Indication, timing of expander implantation and explantation, technical aspects, and compl...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-970184

    authors: Baumeister S,Follmar KE,Erdmann D,Baccarani A,Levin LS

    更新日期:2007-02-01 00:00:00

  • Practical use of digital cameras for microphotography through the operating microscope.

    abstract::A practical use of personal digital cameras for taking digital photographs in the microsurgical field through an operating microscope is described. This inexpensive and practical method for acquiring microscopic images at the desired magnification combines the advantages of the digital camera and the operating microsc...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2003-42500

    authors: Gurunluoglu R,Shafighi M,Ozer K,Piza-Katzer H

    更新日期:2003-07-01 00:00:00

  • Sensory reconstruction in sensate radial forearm flap transfer.

    abstract::The authors treated 14 patients (13 men and one woman), using a sensate radial forearm flap. Their ages at operation ranged from 27 to 67 years (mean: 52 years). Preoperative conditions were amputations in 10 cases, degloving injury in three, and crush injury in one. Reconstructive sites involved the thumb in nine cas...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2000-9375

    authors: Yamauchi T,Yajima H,Kizaki K,Kobata Y,Fukui A,Tamai S

    更新日期:2000-11-01 00:00:00

  • Superficial Circumflex Iliac Artery-Based Iliac Bone Flap Transfer for Reconstruction of Bony Defects.

    abstract:BACKGROUND: The superficial circumflex iliac artery (SCIA)-based iliac bone flap has yet to be widely used. The purpose of this article is to validate the feasibility of SCIA-based iliac bone flap transfers for reconstruction of small to moderate-sized bony defects. Retrospective outcome comparisons between SCIA-based ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0038-1651489

    authors: Yoshimatsu H,Iida T,Yamamoto T,Hayashi A

    更新日期:2018-11-01 00:00:00

  • Prospective evaluation of outcome measures in free-flap surgery.

    abstract::Free-flap failure is usually caused by venous or arterial thrombosis. In many cases, lack of experience and surgical delay also contribute to flap loss. The authors prospectively analyzed the outcome of 57 free flaps over a 28-month period (January, 1999 to April, 2001). The setting was a university hospital tertiary ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-833500

    authors: Kelly JL,Eadie PA,Orr D,Al-Rawi M,O'Donnell M,Lawlor D

    更新日期:2004-08-01 00:00:00

  • Scanning electron microscopic observations on the endothelial healing mechanism of vessels.

    abstract::Systematic scanning electron microscopic observations of the healing mechanism in the endothelium of rat carotid arteries were carried out at the site of anastomosis. The site of needle holes and stitches are the main locations for thrombocyte adhesion and aggregation in normal vascular anastomosis. The repair process...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:

    authors: Gu YD,Li JF,Jiang JF,Zhong CS,Tang PZ

    更新日期:1989-10-01 00:00:00

  • Direct neurotization of muscles by presynaptic motoneurons.

    abstract::The spinal cord cannot heal after severance because the central nervous system is "non-permissive" to the advancement of axons that regrow from presynaptic motoneurons. With the aim of overcoming paraplegia, the author has carried out extensive experimental research since 1980, first in rats and subsequently in monkey...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2001-18873

    authors: Brunelli GA

    更新日期:2001-11-01 00:00:00

  • A Novel Method of Neo-osseous Flap Prefabrication: Induction of Free Calvarial Periosteum with Bioactive Glass.

    abstract:BACKGROUND: Reconstruction of craniofacial bone defects is a primary focus of craniofacial surgery. Although autogenous bone grafts remain as the gold standard, alloplastic materials have also gained widespread popularity due to their off-the-shelf availability, ease of use, and durability. In addition to replacing the...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0037-1598254

    authors: Aliyev A,Ekin Ö,Bitik O,Korkusuz P,Yersal NC,Çelik HH,Tunçbilek G

    更新日期:2018-06-01 00:00:00

  • Nerve regeneration after terminolateral neurorrhaphy: experimental study in rats.

    abstract::Four methods of nerve terminolateral neurorrhaphy (TLN) were studied in rat experimental model. In Group A, the distal end of a severed peroneal nerve was sutured end-to-side with an intact tibial nerve trunk, without removal of the tibial epineurium at the suture site. In Group B, the distal end of a severed peroneal...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1063938

    authors: Zhao JZ,Chen ZW,Chen TY

    更新日期:1997-01-01 00:00:00

  • Medium- and Large-Sized Autologous Breast Reconstruction using a Fleur-de-lys Profunda Femoris Artery Perforator Flap Design: A Report Comparing Results with the Horizontal Profunda Femoris Artery Perforator Flap.

    abstract:BACKGROUND: The volume of the profunda femoris artery perforator (PAP) flap limits its indications to small- and medium-sized breast reconstructions after modified radical mastectomy for cancer. We report a modified PAP flap design, including not only a vertical extension that increases its volume but also the skin sur...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0038-1649508

    authors: Hunsinger V,Lhuaire M,Haddad K,Wirz FS,Abedalthaqafi S,Obadia D,Derder M,Marchac A,Benjoar MD,Hivelin M,Lantieri L

    更新日期:2019-01-01 00:00:00

  • Erratum to: A Novel Method of Neo-osseous Flap Prefabrication: Induction of Free Calvarial Periosteum with Bioactive Glass.

    abstract:: ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,已发布勘误

    doi:10.1055/s-0038-1646944

    authors: Aliyev A,Ekin Ö,Bitik O,Korkusuz P,Yersal NC,Çelik HH,Tunçbilek G

    更新日期:2018-06-01 00:00:00

  • The profunda femoris artery "fourth perforator" island flap: a new perforator flap in lower-limb reconstruction.

    abstract::Although the lateral thigh flap has been well described as a fasciocutaneous flap based on one or more of the four perforators of the profunda femoris artery, the role for these individual perforators as perforator flaps has not been described. These profunda femoris artery perforators offer a particularly useful opti...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1275494

    authors: Rozen WM,Donahoe S,Wilson JL

    更新日期:2011-05-01 00:00:00

  • The osteomusculocutaneous musculoperitoneal groin flap in head and neck reconstruction.

    abstract::The anatomy of the ascending branch of the deep circumflex iliac vessels is reported. This vasculature allows the design of a musculoperitoneal flap, not exceeding 7 cm x 14 cm, together with an osteomusculocutaneous groin flap. The procedure is particularly useful, if resection of an intraoral carcinoma has included ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006848

    authors: Kärcher H,Hellbom B,Radner H

    更新日期:1989-01-01 00:00:00

  • Operative technique to harvest an arterial flap from the posterolateral calf region: how can we elevate a lateral gastrocnemius perforating artery flap safely?

    abstract::The posterior calf region is a useful donor site for skin or composite flaps including muscle and/or nerves. We reported the first clinical use of the lateral gastrocnemius perforating artery flap including a vascularized sural nerve in 2003. This flap was elevated based on a perforator arising from the lateral head o...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1064930

    authors: Kashiwa K,Kobayashi S,Tono H,Ogino K,Kimura H

    更新日期:2008-01-01 00:00:00

  • Designing the anterolateral thigh flap without preoperative Doppler or imaging.

    abstract::The anterolateral thigh (ALT) flap is now considered a workhorse for head and neck reconstruction in many centers. However, designing and raising the ALT flap has been traditionally recognized as being difficult, tedious, and technically demanding due to its variation in perforator anatomy. Designing the ALT flap on d...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1234023

    authors: Lin SJ,Rabie A,Yu P

    更新日期:2010-01-01 00:00:00

  • A new design for free flap reconstruction of the tongue and oropharynx.

    abstract::Radical resection of tongue and oropharyngeal carcinomas often results in complex defects that are challenging to reconstruct. Furthermore, remaining function should not be disturbed by the reconstruction. We introduce a new flap design and monitored swallowing and speech following reconstruction of complex oral defec...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1078691

    authors: Yagi S,Kamei Y,Nakayama B,Toriyama K,Torii S

    更新日期:2008-04-01 00:00:00

  • A case of replantation of a completely amputated digit after 26 hours of warm ischemia.

    abstract::A seven-year-old-boy received a digit replantation after 26 hours of warm ischemia and showed good recovery of motor and sensory functions. In the case reported, replantation was performed after a much longer ischemic time than had been considered an indication for the procedure in previous reports. Successful replant...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006977

    authors: Seo T,Matsuda M

    更新日期:1987-01-01 00:00:00

  • Modified chimeric radial collateral artery perforator flap for repairing hand composite defects.

    abstract:BACKGROUND:The authors presented their clinical experience and demonstrated surgical methods for reconstructing complex bone and soft tissue defects of the hand by using modified chimeric radial collateral artery perforator flaps. METHODS:Surgical procedures that employed 16 modified chimeric radial collateral artery ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0034-1390324

    authors: Liu J,Song D,Wu S,Li J,Deng X,Li K,Lv H,Xu J

    更新日期:2015-03-01 00:00:00

  • Donor operation for face transplantation.

    abstract::The first clinical face allotransplantation was performed by Devauchelle et al in 2005, and currently 13 facial allotransplantations have been performed worldwide. Reports on almost half of the cases were published in the literature, focusing on technical details of facial allograft inset to the recipient face. There ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1272963

    authors: Siemionow M,Ozturk C

    更新日期:2012-01-01 00:00:00

  • Structural and functional regeneration of muscle-related axons after transection and repair of the rat sciatic nerve using nonvascularized autologous fascia as a barrier between tibial and peroneal nerve fascicles.

    abstract::Aberrant reinnervation of target organs caused by misdirected axonal growth at the repair site is a major reason for the poor functional outcome usually seen after peripheral nerve transection and repair. This study investigates whether the criss-crossing of regenerating rat sciatic nerve axons between tibial and pero...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-861524

    authors: Lutz BS

    更新日期:2004-11-01 00:00:00

  • Determining the maximal length of a vein conduit used as an interposition graft for nerve regeneration.

    abstract::Although autogenous veins have been used as nerve conduits (AVNCs) both experimentally and clinically for short nerve gaps up to 3 cm, investigators have not as yet determined the maximal effective length for functional nerve regeneration. In addition, the role of the distal nerve stump on subsequent nerve growth rema...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006624

    authors: Strauch B,Ferder M,Lovelle-Allen S,Moore K,Kim DJ,Llena J

    更新日期:1996-11-01 00:00:00

  • Anatomic imaging of abdominal perforator flaps without ionizing radiation: seeing is believing with magnetic resonance imaging angiography.

    abstract::The tremendous variability of the inferior epigastric arterial system makes accurate imaging of the vasculature of the anterior abdominal wall an essential component of optimal perforator selection. Preoperative imaging of the abdominal vasculature allows for preoperative perforator selection, resulting in improved op...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1220862

    authors: Greenspun D,Vasile J,Levine JL,Erhard H,Studinger R,Chernyak V,Newman T,Prince M,Allen RJ

    更新日期:2010-01-01 00:00:00

  • Thoracoumbilical flap: experience with 33 cases.

    abstract::From August 1996 to June 2000, 33 free thoracoumbilical flaps were transferred to reconstruct a variety of soft-tissue defects. The size of the flaps ranged from 10 to 40 cm in length and 8 to 25 cm in width. The blood supply to the skin island came from the largest periumbilical perforator of the deep inferior epigas...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-820768

    authors: Zhang XQ,Wang SD,Fan QY,Mao BA,Zhou Y,Zhang MH

    更新日期:2004-02-01 00:00:00