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Commentary: Standardization of patient reported outcomes in lower extremity reconstruction

Published:October 14, 2022DOI:https://doi.org/10.1016/j.bjps.2022.10.006
      Lower extremity defects cause significant morbidity to patients, both in form and function.
      • Kang M.J.
      • Chung C.H.
      • Chang Y.J.
      Reconstruction of the lower extremity using free flaps.
      Fortunately, there exists a wide range of options for lower extremity reconstruction (LER), with donor sites including the anterolateral thigh, latissimus dorsi, and gracilis, as well as a choice for myocutaneous versus fasciocutaenous tissue.
      • Kozusko S.
      • Liu X.
      • Riccio C.
      • et al.
      Selecting a free flap for soft tissue coverage in lower extremity reconstruction.
      Although outcomes such as complications, flap survival, and function are well described in the literature
      • Egeler S.A.
      • et al.
      Long-term patient-reported outcomes following free flap lower extremity reconstruction for traumatic injuries.
      , patient reported outcomes (PRO) are underreported and should be taken into consideration for flap selection. The authors present a meta-analysis of the literature for PRO in LER, finding that myocutaneous flaps are associated with improved mental health scores at the expense of physical health scores compared to perforator flaps.
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