Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 61, Issue 7 , Pages 772-776 , July 2008

Review of 197 consecutive free flap reconstructions in the lower extremity

  • Reto Wettstein

      Affiliations

    • Present address: Division of Plastic Reconstructive & Aesthetic Surgery, Geneva University Hospitals HUG, Rue Micheli-du-Crest 24, CH-1211 Geneva 14, Switzerland.
    • ,
  • Roland Schürch
    • ,
  • Andrej Banic
    • ,
  • Dominique Erni
    • ,
  • Yves Harder

      Affiliations

    • Corresponding Author InformationCorresponding author. Present address: Division of Plastic Reconstructive & Aesthetic Surgery, Geneva University Hospitals HUG, Rue Micheli-du-Crest 24, CH-1211 Geneva 14, Switzerland. Tel.: +41 22 3728012; fax: +41 22 3728005.

Received 15 April 2007 ,Accepted 23 November 2007.

References 

  1. Anthony JP, Mathes SJ, Alpert BS. The muscle flap in the treatment of chronic lower extremity osteomyelitis: results in patients over 5 years after treatment. Plast Reconstr Surg. 1991;88:311–318
  2. May JW, Gallico GG, Lukash FN. Microvascular transfer of free tissue for closure of bone wounds of the distal lower extremity. N Engl J Med. 1982;306:253–257
  3. Byrd HS, Cierny G, Tebbetts JB. The management of open tibial fractures with associated soft-tissue loss: external pin fixation with early flap coverage. Plast Reconstr Surg. 1981;68:73–82
  4. Godina M. Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg. 1986;78:285–292
  5. Swartz WM, Mears DC. The role of free-tissue transfers in lower-extremity reconstruction. Plast Reconstr Surg. 1985;76:364–373
  6. Classen DA, Ward H. Complications in a consecutive series of 250 free flap operations. Ann Plast Surg. 2006;56:557–561
  7. Wells MD, Bowen CV, Manktelow RT, et al. Lower extremity free flaps: a review. Can J Surg. 1996;39:233–239
  8. Byrd HS, Spicer TE, Cierney G. Management of open tibial fractures. Plast Reconstr Surg. 1985;76:719–730
  9. Yaremchuk MJ, Brumback RJ, Manson PN, et al. Acute and definitive management of traumatic osteocutaneous defects of the lower extremity. Plast Reconstr Surg. 1987;80:1–14
  10. Yazar S, Lin CH, Lin YT, et al. Outcome comparison between free muscle and free fasciocutaneous flaps for reconstruction of distal third and ankle traumatic open tibial fractures. Plast Reconstr Surg. 2006;117:2468–2475
  11. Hong JP, Shin HW, Kim JJ, et al. The use of anterolateral thigh perforator flaps in chronic osteomyelitis of the lower extremity. Plast Reconstr Surg. 2005;115:142–147
  12. Zweifel-Schlatter M, Haug M, Schaefer DJ, et al. Free fasciocutaneous flaps in the treatment of chronic osteomyelitis of the tibia: a retrospective study. J Reconstr Microsurg. 2006;22:41–47
  13. Serletti JM, Higgins JP, Moran S, et al. Factors affecting outcome in free-tissue transfer in the elderly. Plast Reconstr Surg. 2000;106:66–70
  14. Goldberg JA, Alpert BS, Lineaweaver WC, et al. Microvascular reconstruction of the lower extremity in the elderly. Clin Plast Surg. 1991;18:459–465
  15. Bonawitz SC, Schnarrs RH, Rosenthal AI, et al. Free-tissue transfer in elderly patients. Plast Reconstr Surg. 1991;87:1074–1079
  16. Coskunfirat OK, Chen HC, Spanio S, et al. The safety of microvascular free tissue transfer in the elderly population. Plast Reconstr Surg. 2005;115:771–775
  17. Malata CM, Cooter RD, Batchelor AG, et al. Microvascular free-tissue transfers in elderly patients: the Leeds experience. Plast Reconstr Surg. 1996;98:1234–1241
  18. Shestak KC, Jones NF. Microsurgical free-tissue transfer in the elderly patient. Plast Reconstr Surg. 1991;88:259–263
  19. Harder Y, Amon M, Georgi M, et al. Aging is associated with an increased susceptibility to ischaemic necrosis due to microvascular perfusion failure but not a reduction in ischaemic tolerance. Clin Sci (Lond). 2007;112:429–440
  20. Gonzalez MH, Tarandy DI, Troy D, et al. Free tissue coverage of chronic traumatic wounds of the lower leg. Plast Reconstr Surg. 2002;109:592–600
  21. Kuokkanen HO, Tukiainen EJ, Asko-Seljavaara S. Radical excision and reconstruction of chronic tibial osteomyelitis with microvascular muscle flaps. Orthopedics. 2002;25:137–140
  22. Khouri RK, Shaw WW. Reconstruction of the lower extremity with microvascular free flaps: a 10-year experience with 304 consecutive cases. J Trauma. 1989;29:1086–1094
  23. Pu LL, Medalie DA, Rosenblum WJ, et al. Free tissue transfer to a difficult wound of the lower extremity. Ann Plast Surg. 2004;53:222–228

PII: S1748-6815(07)00636-5

doi: 10.1016/j.bjps.2007.11.037

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 61, Issue 7 , Pages 772-776 , July 2008

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