Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma

Matthew R Zeiderman; MD; Lee L Q Pu; MD; PhD

doi:10.1093/burnst/tkab024

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Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma

更新时间：2022-06-14

- Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma
- Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma
- Burns & Trauma 2021年9卷第1期
- 作者机构：
  
  Division of Plastic & Reconstructive Surgery
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkab024
  中图分类号：
- 纸质出版日期：2021，
  
  网络出版日期：2021-7-30，
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Matthew R Zeiderman, MD, Lee L Q Pu, 等. Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma[J]. Burns & Trauma, 2021,9(1).

Matthew R Zeiderman, MD, Lee L Q Pu, MD, PhD, Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma, Burns & Trauma, Volume 9, 2021, tkab024, https://doi.org/10.1093/burnst/tkab024
Matthew R Zeiderman, MD, Lee L Q Pu, 等. Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma[J]. Burns & Trauma, 2021,9(1). DOI： 10.1093/burnst/tkab024.

Matthew R Zeiderman, MD, Lee L Q Pu, MD, PhD, Contemporary approach to soft-tissue reconstruction of the lower extremity after trauma, Burns & Trauma, Volume 9, 2021, tkab024, https://doi.org/10.1093/burnst/tkab024 DOI：

摘要

Abstract

The complex lower extremity wound is frequently encountered by orthopedic and plastic surgeons. Innovations in wound care

soft tissue coverage and surgical fixation techniques allow for improved functional outcomes in this patient population with highly morbid injuries. In this review

the principles of reconstruction of complex lower extremity traumatic wounds are outlined. These principles include appropriate initial evaluation of the patient and mangled extremity

as well as appropriate patient selection for limb salvage. The authors emphasize proper planning for reconstruction

timing of reconstruction and the importance of an understanding of the most appropriate reconstructive option. The role of different reconstructive and wound care modalities is discussed

notably negative pressure wound therapy and dermal substitutes. The role of pedicled flaps and microvascular free-tissue transfer are discussed

as are innovations in understanding of perforator anatomy and perforator flap surgery that have broadened the reconstruction surgeon’s armamentarium. Finally

the importance of a multidisciplinary team is highlighted via the principle of the orthoplastic approach to management of complex lower extremity wounds. Upon completion of this review

the reader should have a thorough understanding of the principles of contemporary lower extremity reconstruction.

关键词

Keywords

Lower extremitySoft tissueReconstructionTraumaSurgical approach

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