Lower extremity defects cause significant morbidity to patients, both in form and
function.
1
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.
2
Although outcomes such as complications, flap survival, and function are well described
in the literature
3
, 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.To read this article in full you will need to make a payment
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References
- Reconstruction of the lower extremity using free flaps.Arch Plast Surg. 2013; 40: 575
- Selecting a free flap for soft tissue coverage in lower extremity reconstruction.Injury. 2019; 50: S32-S39
- Long-term patient-reported outcomes following free flap lower extremity reconstruction for traumatic injuries.Plast Reconstr Surg. 2018; 141: 773-783
- Systematic review and comparative meta- analysis of outcomes following pedicled muscle versus fasciocutaneous flap coverage for complex periprosthetic wounds in patients with total knee arthroplasty.Arch Plast Surg. 2017; 44: 124-135
- Muscle versus fasciocutaneous flap in lower limb reconstruction: Is there a best option?.J Reconstr Microsurg. 2017; 33: S27-S33
Article info
Publication history
Published online: October 14, 2022
Accepted:
October 4,
2022
Received:
August 19,
2022
Identification
Copyright
© 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
