2019
DOI: 10.1055/s-0039-1688095
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A Review on the Orthoplastic Approach to Lower Limb Reconstruction

Abstract: Just as in the craft of carpentry, a stable foundation and framework are absolutely essential to the final function of a building, but no more important than the drywall, trim, and paint that make the building functional, durable, and livable. Reconstruction of the lower extremity is similar; the orthopaedic surgeon must obtain stable fixation of the damaged or diseased bone once a thorough debridement of nonviable bone is performed, while the plastic or orthopaedic soft tissue surgeon must provide vascularize… Show more

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Cited by 16 publications
(11 citation statements)
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“…14 The endoscope has also been used to preexpand 684e flaps, such as the free latissimus myocutaneous flap, to increase total flap surface area, allowing aesthetic resurfacing of large lower extremity contour defects. 14 Tissue expansion, particularly in the lower extremity, has been classically associated with major complications such as infection, sepsis, tissue necrosis, and expander exposure in up to 15% of patients. 15 Despite a recent study showing no association between the lower extremity region and an increased risk of expander-related complications, this technique should be used with caution.…”
Section: Scar Excisionmentioning
confidence: 99%
“…14 The endoscope has also been used to preexpand 684e flaps, such as the free latissimus myocutaneous flap, to increase total flap surface area, allowing aesthetic resurfacing of large lower extremity contour defects. 14 Tissue expansion, particularly in the lower extremity, has been classically associated with major complications such as infection, sepsis, tissue necrosis, and expander exposure in up to 15% of patients. 15 Despite a recent study showing no association between the lower extremity region and an increased risk of expander-related complications, this technique should be used with caution.…”
Section: Scar Excisionmentioning
confidence: 99%
“…104 For larger defects accompanied by extensive degloving, free tissue transfer is preferentially used. 105 Although there is no robust evidence favouring muscle or fasciocutaneous flaps for free tissue transfer, experimental studies conclude that muscle is superior in larger defects. 50,106,107 However, with the increasing popularity of the use of the free anterolateral thigh flaps with some muscle (Fig.…”
Section: Types Of Definitive Soft Tissue Reconstructionmentioning
confidence: 99%
“…Open fractures are complex injuries, usually resulting from high-energy trauma [ 1 ]. They are a cause of significant morbidity and mortality, and require a multidisciplinary approach in their management [ 2 ]. Gustilo-Anderson (GA) classified open fractures into three main types based on wound size, severity of soft tissue/bony injuries, and level of contamination [ 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…These standards aimed at enabling optimum recovery and minimising the risk of infection through early antibiotic administration, timely thorough surgical debridement, and simultaneous skeletal fixation and soft-tissue coverage [ 6 ]. This orthoplastic approach of simultaneous skeletal fixation and soft-tissue cover has reportedly yielded better outcomes in regards to infection, time to union, and soft tissue recovery in settings both inside and outside the UK (both developed and developing countries) [ 2 , 7 , 8 ].…”
Section: Introductionmentioning
confidence: 99%