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Reconstruction Options for Lower Extremity Traumatic Wounds.
Azoury, Saïd C; Kovach, Stephen J; Levin, L Scott.
Afiliação
  • Azoury SC; From the Division of Plastic Surgery, Department of Surgery and the Department of Orthopaedic Surgery, University of Pennsylvania Philadelphia, PA.
J Am Acad Orthop Surg ; 30(16): 735-746, 2022 Aug 15.
Article em En | MEDLINE | ID: mdl-36067459
The senior author first coined the "orthoplastic" approach to traumatic lower extremity reconstruction, by which multidisciplinary surgeons and specialists work together for optimal patient success. The goals of lower extremity salvage are to optimize limb appearance, restore unrestricted pain-free ambulation, and improve quality of life. Composite traumatic defects require an organized approach, and the reconstructive ladder is used for strategies of varying complexity for repair of soft-tissue wounds. The lower rungs of the ladder include simpler reconstructive options such as the use of skin grafts and local flaps, and the higher rungs represent complex techniques such as free tissue transfer. Although there is no notable difference between muscle and fasciocutaneous/perforator flaps in reconstructive outcomes, there has been a trend toward perforator flaps to minimize donor site morbidity.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Lesões dos Tecidos Moles / Procedimentos de Cirurgia Plástica / Traumatismos da Perna Tipo de estudo: Observational_studies Aspecto: Patient_preference Limite: Humans Idioma: En Revista: J Am Acad Orthop Surg Assunto da revista: ORTOPEDIA Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Lesões dos Tecidos Moles / Procedimentos de Cirurgia Plástica / Traumatismos da Perna Tipo de estudo: Observational_studies Aspecto: Patient_preference Limite: Humans Idioma: En Revista: J Am Acad Orthop Surg Assunto da revista: ORTOPEDIA Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos