2015
DOI: 10.1053/j.jfas.2015.04.019
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Traumatic Forefoot Reconstructions With Free Perforator Flaps

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Cited by 10 publications
(9 citation statements)
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“…Zgonis et al and Gözü et al utilized the cross-leg reverse sural artery ap to reconstruct the defects over the distal forefoot in small sample size [7,8]. However, it isn't an optimal choice because the prolonged postoperative immobilization of both lower limbs and the unavoidable reoperations is a great inconvenience for patients.Zhu et al reconstructed the defect over the forefoot using 5 types of free aps for 41 patients, and two aps were lost by repeat exploration [9]. Free ap can be used to reconstruct larger defects however the procedure has some disadvantages, such as time limitation, requirement of additional equipment, increased technical complexity, sacri cing of the main vessel, trained microsurgeons and teams, postoperative monitoring requirements, and the need for a relatively longer learning curve and there is always a risk of reexploration.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Zgonis et al and Gözü et al utilized the cross-leg reverse sural artery ap to reconstruct the defects over the distal forefoot in small sample size [7,8]. However, it isn't an optimal choice because the prolonged postoperative immobilization of both lower limbs and the unavoidable reoperations is a great inconvenience for patients.Zhu et al reconstructed the defect over the forefoot using 5 types of free aps for 41 patients, and two aps were lost by repeat exploration [9]. Free ap can be used to reconstruct larger defects however the procedure has some disadvantages, such as time limitation, requirement of additional equipment, increased technical complexity, sacri cing of the main vessel, trained microsurgeons and teams, postoperative monitoring requirements, and the need for a relatively longer learning curve and there is always a risk of reexploration.…”
Section: Discussionmentioning
confidence: 99%
“…Clinical treatment is di cult through covering the defect in this area;. The cross-leg ap [7,8], other pedicled or local ap [5], and free ap [9] can be used to reconstruct the defect over the distal forefoot, but each ap has its respective indications and limitations. The cross-leg ap for that reconstruction of the defects in the region is a safe alternative, however, the patients who receive the cross-leg ap require additional nursing care and unavoidable reoperations, and face di culties in daily activities.…”
Section: Introductionmentioning
confidence: 99%
“…Large RSA flaps showed venous congestion leading to partial flap necrosis as studied by Grandjean et al 16 RSA flap, fasciocutaneous flaps, and perforator propeller flaps from the same limb reach up to the proximal or middle of the foot but not up to base of toes. 13 However, we can follow the reconstructive elevator and choose free flap reconstruction 17,18 when expertise and infrastructure are available. Li et al 19 have concluded that free flaps play a major role in reconstruction of complex, large distal defects of the foot and ankle than pedicled flaps in their comparative study.…”
Section: Discussionmentioning
confidence: 99%
“…However, it is not an optimal choice because the prolonged postoperative immobilization of both lower limbs and the unavoidable reoperations is a great inconvenience for patients. Zhu et al reconstructed the defect over the forefoot using 5 types of free flaps for 41 patients, and two flaps were lost by repeat exploration [9]. Free flap can be used to reconstruct larger defects; however, the procedure has some disadvantages, such as time limitation, requirement of additional equipment, increased technical complexity, sacrificing of the main vessel, trained microsurgeons and teams, postoperative monitoring requirements, and the need for a relatively longer learning curve, and there is always a risk of reexploration.…”
Section: Discussionmentioning
confidence: 99%
“…Clinical treatment is difficult through covering the defect in this area. The cross-leg flap [7,8], other pedicled or local flap [5], and free flap [9] can be used to reconstruct the defect over the distal forefoot, but each flap has its respective indications and limitations. The cross-leg flap for that reconstruction of the defects in the region is a safe alternative; however, the patients who receive the crossleg flap require additional nursing care and unavoidable reoperations, and face difficulties in daily activities.…”
Section: Introductionmentioning
confidence: 99%