Lower Extremity Reconstruction

The state-of-the-art guide to lower extremity reconstruction from international experts "I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and the future in one beautifully-crafted and exciting book. This is no doubt a must-read and must-have book." – from the Foreword by Fu-Chan Wei, MD Adequate evaluation of lower limb wounds for salvage requires an itemized assessment of vascular, osseous, soft tissue, and functional deficits. Lower Extremity Reconstruction: A Practical Guide by renowned reconstructive surgeons and perforator flap masters J.P. Hong and Geoffrey G. Hallock presents an orthoplastic approach to this growing and challenging area of microsurgery. Throughout the well-illustrated text and videos, an impressive cadre of international surgeons share pearls and insights, including esoteric knowledge and step-by-step demonstration of techniques with pertinent case examples. This unique guide presents a practical, visual, and stepwise approach to learning and mastering a full array of flap and microsurgery approaches for traumatic, dysvascular, metabolic, and oncologic lower limb defects. Organized into 26 topic-specific chapters, the book covers a full spectrum of lower extremity topics—from wound prep, timing, closure alternatives, and therapy, to soft-tissue tumors and a new concept in drop foot treatment. Numerous videos demonstrate how surgeons can leverage workhorse options to prevent chronic non-healing wounds or amputations and achieve the goal of limb salvage. Key Highlights Lower extremity soft-tissue reconstruction techniques using local muscle and perforator workhorse flaps Bone salvage and restoration techniques, including vascularized bone grafts Diabetic foot management with in-depth discussion of the SCIP flap and perforator-to-perforator concept Rationale for partial and subtotal foot amputation 27 videos and more than 600 illustrations enhance understanding of microsurgical interventions With insights from top microsurgeons on how to achieve the best outcomes for patients with lower limb defects, this is a must-have resource for plastic and orthopaedic surgeons, especially specialists who treat patients at trauma centers.

This focused, concise book offers an in-depth analysis of lower extremity reconstruction alongside region-specific photos and illustrations. As an anatomical atlas, it seeks to aid the visual learner in showcasing the key steps in setting up and raising the flap for a given defect. Organized into two sections, opening chapters are arranged by general location, focusing specifically on the lower limb. Each general location of a wound is accompanied by an examination of relevant anatomy, including blood supply, nerve supply, arc of rotation of the tissue, and local flap options. Following a description of the anatomy, subsequent paragraphs explain the application of relevant local flap options. Section two incorporates flap demonstration and application into each chapter, offering a more detailed description, true and specific to each anatomical site of the technique. Supplemented by high-quality images and figures, Handbook of Lower Extremity Reconstruction: Clinical Case-Based Review and Flap Atlas is an invaluable reference for practicing plastic and orthopedic surgeons and residents in training.

This book is a first-of-its-kind unique atlas that synthesizes a full review of both upper and lower extremity reconstructive options in one text. While there are books that concentrate on local soft tissue coverage and other books that discuss all types of free flaps, this book features a full scope and provides the full spectrum of reconstructive options. It features high-quality pictures and made-just-for-this-text illustrations created by reconstructive surgeons with intimate knowledge of the procedures. This atlas includes a detailed description of each flap and presents high-quality pictures and graphics explaining relevant anatomy. Each chapter offers case presentations accompanied by explanations that describe why doctors select specific reconstructive options; this guides the readers on how to discern which flap to choose in which situation. Comprehensive Atlas of Upper and Lower Extremity: From Primary Closure to Free Tissue Transfer offers a comprehensive tool for plastic surgeons, orthopedic surgeons, and some general surgeons who perform simple soft tissue coverage.

This issue Clinics in Plastic Surgery, guest edited by Dr. Lee L.Q. Pu, is dedicated to Contemporary Approach to Lower Extremity Reconstruction. Topics in this issue include—but are not limited to—locoregional flaps, free flaps, propeller flaps, perforator-plus flaps, local free-style perforator flaps, free-style free perforator flaps, anterolateral thigh perforator flap, superficial circumflex iliac artery perforator flap, medial sural artery perforator flap, optimal timing of traumatic lower extremity reconstruction, management of Gustilo Type IIIC injuries, orthoplastic approach, functional restoration, lower extremity reconstruction after soft tissue sarcoma resection, super-microsurgery, free tissue transfers to lower extremity, and lower extremity reconstruction for limb salvage.

Since publication of the first edition, Lower Extremity Soft Tissue & Cutaneous Plastic Surgery has attracted wide acclaim for its superb illustrations, clear step-by-step approach, thoroughness and practicality. Progressing from basic information on instruments and principles of tissue handling through to complex techniques, no surgeon of the foot and ankle will want to be without this authoritative text which will aid in their recognition of conditions and provide a suitable method of treatment with the latest surgical techniques. This second edition provides additional information regarding the current techniques of suturing, aseptic and sterile techniques, vascular anatomy, incisional and excisional procedures, cutaneous flaps and grafts as well as reconstructive and plastic surgical techniques. Four new chapters have been added along with numerous new photographs and illustrations. Emphasis is placed on plastic surgery techniques that are applicable on the foot, ankle and lower leg whenever possible. Over 1,300 superb full color illustrations Practical step-by-step instructions of all the major techniques Suitable for all surgeons performing reconstructive or plastic surgery on the lower limb Four new chapters: Cutaneous anatomy and its surgical implications Aseptic techniques Leg ulcer management Dressings and postoperative care Text fully updated throughout with extra illustrations for maximum clarity

Part of the best-selling Operative Techniques series, Operative Techniques in Plastic Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the best procedure, how to avoid complications and what outcomes to expect. This stand-alone book offers focused, easy-to-follow coverage of lower limb reconstruction and amputation, all taken directly from the larger text. It covers nearly all plastic surgery operations for these specific areas that are in current use, and is ideal for residents and physicians in daily practice.

Standards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focussing on lower limb injuries. It builds on and expands the NICE Guidelines to provide a practical approach with supporting evidence. The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with the bone and soft tissue injures, complications such as infection, and patient rehabilitation and psychological care. The book is primarily aimed at trainee plastic, orthopaedic and trauma surgeons (particularly for expanding knowledge and examination revision) but would also appeal to established surgeons to improve patient care. Standards for the Management of Open Fractures is an open access title. It is available to read and download as a free PDF version on Oxford Medicine Online. It has been made available under a Creative Commons Attribution-Non Commercial No Derivatives 4.0 International licence.