Treatment of high-velocity trauma of the lower limb is often challenging in its nature, especially when dealing with extensive soft-tissue loss, underlying bone fractures and vascular lesions. The main goal in this surgery is the preservation of a functional and sensitive limb, or maximal functional length of the stump when dealing with limb amputations.
We present a case report of a reconstruction of a complex massive soft-tissue defect of a lower limb by a giant free deep inferior epigastric artery perforator (DIEAP) flap. Classification and treatment options for massive lower limb defects are discussed.
The free DIEAP flap is another valuable option for massive soft-tissue lower limb reconstructions and limb salvage procedures. It provides massive amounts of soft tissue with minimal donor-site morbidity, which is easily amenable for secondary corrections.
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- Problems in the management of type III (severe) open fractures: a new classification of type III open fractures.J Trauma. 1984 Aug; 24: 742-746
- Double-pedicle abdominal perforator free flaps for unilateral breast reconstruction: new horizons in microsurgical tissue transfer to the breast.J Plast Reconstr Aesthet Surg. 2007; 60 (discussion 913–4): 904-912
- Factors influencing the decision to amputate or reconstruct after high energy lower extremity trauma.J Trauma. 2002; 52: 641-649
- Salvage of lower extremities following combined orthopedic and vasculat trauma. A predictive salvage index.Am Surg. 1987 Apr; 53: 205-208
- Objective criteria accurately predict amputation following lower extremity trauma.J Trauma. 1990; 30: 568-573
- Limb salvage versus traumatic amputation. A decision based on a seven-part predictive index.Ann Surg. 1991; 213: 473-481
- Lower extremity arterial injury patterns and reconstructive outcomes in patients with severe lower extremity trauma: a 26-year review.J Am Coll Surg. 2010 Jan; 210 (Epub 2009 Nov 18): 66-72
- The versatile DIEP flap: its use in lower extremity reconstruction.Br J Plast Surg. 2005 Jan; 58: 2-13
Published online: November 03, 2011
Accepted: September 30, 2011
Received: January 12, 2011
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.