Reconstructive Surgery of the Leg and Foot

Stark, Richard B.; Kernahan, Desmond A.

doi:10.1016/s0039-6109(16)35742-5

Cited by 9 publications

(24 citation statements)

References 27 publications

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“…Soft tissue injuries of the lower extremity involving the heel and foot are uniquely demanding in terms of preservation of the special biomechanics and function. 1-3…”

Section: Introductionmentioning

confidence: 99%

“…1,6-9 Bulky flaps could result in repeated debulking procedures, difficulties in walking and wearing shoes. 1,4,5,7…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of choice is the reuse of the avulsed skin whenever possible, and alternatively, the use of fasciocutaneous flaps. 1,2,4,6,10 The glabrous skin of the sole is uniquely constructed to ensure endurance of the weight bearing sole and stability while walking, whereas being irreplaceable, it is only found in this anatomic area. In extensive soft tissue injuries of the leg and foot, local fasciocutaneous flaps are frequently unavailable since they may be involved in the injury zone; thus, free flaps are the only reasonable reconstructive option.…”

Section: Introductionmentioning

confidence: 99%

“…In extensive soft tissue injuries of the leg and foot, local fasciocutaneous flaps are frequently unavailable since they may be involved in the injury zone; thus, free flaps are the only reasonable reconstructive option. 1,10 However, even free flaps are associated with stability and walking problems as well as shearing lesions, due to their bulkiness and unreliable attachment to the underlying skeletal elements. 1,3,6,7,9…”

Section: Introductionmentioning

confidence: 99%

“…1,10 However, even free flaps are associated with stability and walking problems as well as shearing lesions, due to their bulkiness and unreliable attachment to the underlying skeletal elements. 1,3,6,7,9…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Dermal Matrices: Game Changers in Leg and Foot Soft Tissue Reconstruction? A Case Series

Kakagia

Georgiadis

Drosos

2021

The International Journal of Lower Extremity Wounds

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The present article aims to present the use of dermal matrices in severe degloving, avulsion, and necrotizing injuries of the leg and foot in 3 patients. Conventional reconstruction would require the use of free flaps, since exposure of vessels, nerves, joints, and tendons rendered the mere resurfacing with skin grafts insufficient, and extensive cutaneous detachment precluded the use of local fasciocutaneous flaps. All injuries underwent thorough and repeated surgical debridements and wash outs, followed by negative pressure wound therapy (NPWT). Once negative tissue cultures were obtained, the extremities were resurfaced with dermal matrix and immediately covered by split thickness skin grafts. NPWT on the grafted area for a week effectively secured the grafts on the recipient area. Complete healing was achieved in all grafted areas within 7 to 12 days. The function of joints and tendons as well as the quality of resurfacing at the weight bearing areas were tested and found satisfactory within a follow-up period of 5 to 15 months. The use of combined NPWT and dermal matrices in carefully selected patients provides a reliable and durable reconstructive option for leg and foot injuries with satisfactory functional outcomes.

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“…Soft tissue injuries of the lower extremity involving the heel and foot are uniquely demanding in terms of preservation of the special biomechanics and function. 1-3…”

Section: Introductionmentioning

confidence: 99%