The Technique of Muscle Transposition in the Operative Treatment of Traumatic and Ulcerative Lesions of the Leg

Ger, Ralph

doi:10.1097/00005373-197106000-00007

Cited by 89 publications

(27 citation statements)

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“…The clinical application of free tissue transfer has revolutionized lower extremity reconstruction [9,16,21]. Indeed, free tissue transfers have become the method of choice for providing coverage of difficult lower extremity wounds in the distal third of the lower limb where locally available tissue is lacking [1,23].…”

Section: Discussionmentioning

confidence: 99%

Free flap reconstruction of the lower extremity in the elderly

et al. 1992

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Over a four year period, thirteen patients over the age of 60 (mean 69 years) underwent reconstruction of lower extremity defects with free tissue transfers. Ten latissimus dorsi, one tensor facia lata, and two rectus abdominus free flaps were used. Despite significant risk factors which included previous tobacco use, hypertension, diabetes mellitus, and angiographic vessel abnormalities, ten of thirteen cases had successful outcomes. There was one acute flap failure secondary to arterial thrombosis. Four flaps had delayed healing, with one patient eventually requiring amputation secondary to persistent pain and wound drainage. This experience demonstrates that free flap reconstruction of lower extremity defects in the elderly patient is a reasonable alternative to amputation when other options are limited.

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Section: Discussionmentioning

confidence: 99%

Free flap reconstruction of the lower extremity in the elderly

et al. 1992

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“…In the 1970s, investigation started on the muscle as a carrier of the overlying skin to create larger musculocutaneous flaps (5). Many kinds of musculocutaneous flaps were developed and reported to fill defects of the leg, perineal region, and breast (6 -8).…”

Section: Musculocutaneous To Fasciocutaneous Flapmentioning

confidence: 99%

Development of Skin Flaps for Reconstructive Surgery: Random Pattern Flap to Perforator Flap

et al. 2016

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: Flap transplantation has been an important procedure in plastic and reconstructive surgery to cover and fill various defects. Flap necrosis due to blood circulation failure leads to severe complications, especially in a patient undergoing reconstruction concerning the body cavity after tumor ablation. Surgical procedures for flap transplantation have been further improved and developed. We have reviewed from the random pattern flap to the newest procedure, the perforator flap. Perforator vessels were investigated in the process of development of the fasciocutaneous flap and have become important for blood supply of the skin flap. Blood circulation of the flap has become more stable and reliable than ever with the development and findings of the perforator vessels. Further development of a skin flap will be based on the perforasome concept, which involves the study of the territory and linking of perforator vessels.

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“…This term implies that it is necessary to include the septum containing the vascular axis during the elevation of these flaps. Finally, indirect vascularisation of muscular origin is the basis for musculocutaneous flaps, a fact known for a long time [24,25] . This kind of vascularisation is provided by the arteries of muscular origin that traverse the fascia and are distributed to the skin.…”

Section: Skin Vascularisationmentioning

confidence: 99%