Versatility of the lateral circumflex femoral arterial (LCFA) system flaps for lower extremity soft tissue reconstruction

Camporro, Daniel; García, Elena Borrego; Barrio, Leticia

doi:10.1007/s00238-013-0847-y

Cited by 3 publications

(4 citation statements)

References 41 publications

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“…Song et all first described the use of anterolateral thigh flaps in 1984 [ 7 ]. Pedicled flaps using the LCFA are widely used due to its versatility and reliability, with overall flap survival rate of 96–97% in ideal conditions in high volume centres [ 4 , 8 ]. These flaps have been used successfully in Ukraine in austere settings for the closure of military wounds and are favoured as a large donor site is available, there is minimal donor site morbidity, and muscle is preserved leading to good functional outcome [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Telemedicine support aids lower limb reconstruction after combat injury in Ukraine

Хоменко

Лурін

Гуменюк

et al. 2023

Journal of Surgical Case Reports

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Since the destructive and illegal full-scale invasion of Ukraine in February 2022, caring for the victims of war trauma has been an essential function of Ukrainian clinicians [ 1, 2]. The authors present a case where using novel dynamic digital thermography (DDT), combined with international telemedicine support, contributed to saving the lower limb of an injured Ukrainian soldier. A male soldier in his 30s presented with a ‘through and through’ fragmentation wound to the right thigh from an artillery shell exploding nearby. After initial haemorrhage control and resuscitation, the patient was transferred to a tertiary hospital. Using telemedicine support, reconstructive surgery was planned and performed successfully using a perforating flap technique. DDT was used pre-operatively to identify a perforating vessel and post-operatively to ensure perfusion of the flap. The patient made a good recovery and was discharged 14 d post-operatively.

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Section: Discussionmentioning

confidence: 99%

“…Severe limb injury is common; with up to 89% of those treated by the National Military Medical Clinical Centre in Kyiv suffering extremity injuries [ 2 ]. Significant lower limb defects are challenging cases and obtaining adequate soft tissue coverage is crucial [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Telemedicine support aids lower limb reconstruction after combat injury in Ukraine

Хоменко

Лурін

Гуменюк

et al. 2023

Journal of Surgical Case Reports

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“…Nos permiten trabajar a dos campos y obtenemos pedículos de 8-16 cm de longitud, lo que nos facilita hacer suturas vasculares lejos de la zona de lesión. En 4 casos hemos disecado colgajos quimera con una pastilla independiente de vasto lateral para relleno de espacio muerto o aposición ósea directa, y hemos obtenido paletas cutáneas de hasta 30 x 11 cm, lo que nos ha permitido cubrir defectos extensos (19). Otras ventajas adicionales de los colgajos fasciocutáneos son que, en caso de procedimientos ortopédicos secundarios, toleran mejor el levantamiento que los musculares y se remodelan más fácilmente.…”

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“…En éstas, la demora temporal hasta cobertura es más elevada. Observamos también un pico de osteomielitis cró- Gopal y col (18) Conroy y col (19) Rhode y col (10) Yazar y col (14) Çeliköz y col (20) Nuestra serie nica en los pacientes tratados con clavo endomedular en la serie de Rhode. Esto no se ve en las series de Gopal y col. (20) y en la de Conroy y col. (21) que usan de forma predominante la fijación ósea con clavo endomedular; pero también vemos que estas 2 series reflejan los menores tiempos de cobertura (Tabla V).…”

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Tratamiento de fracturas abiertas de tibia grado IIIB-IIIC de Gustilo con colgajos libres microvascularizados

Camporro-Fernández

Ontaneda-Rubio

Castellanos-Morán

2015

Cir. plást. iberolatinoam.

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ResumenLos objetivos de este artículo son aportar nuestra experiencia en el tratamiento de las fracturas tibiales tipo IIIB-IIIC mediante colgajos libres y presentar nuestro protocolo de actuación ante este tipo de lesiones.El estudio incluye una serie de 49 pacientes en los que se realizaron un total de 51 colgajos libres. El desbridamiento y la estabilización ósea se practicaron el día 1 de la lesión. El número de desbridamientos hasta cobertura fue de 1 a 3 (media 2,1). El tiempo medio desde la lesión a la cobertura definitiva fue de 9,3 días. Hubo supervivencia en 46 colgajos (90,2%), y los 5 fallidos se resolvieron mediante 2 colgajos de piernas cruzadas, un segundo colgajo libre y 2 amputaciones infracondíleas.Obtuvimos consolidación primaria en 23 casos (47% de los pacientes). En el resto realizamos procedimientos ortopédicos secundarios con un 4% de osteomielitis crónicas y un 4% de pseudoatrosis infectadas, una de las cuales requirió amputación secundaria. En total hubo 3 amputaciones, con un 94% de piernas salvadas.El tratamiento de estos pacientes se debe llevar a cabo en un centro hospitalario donde haya estrecha colaboración entre traumatólogos y cirujanos plásticos. A pesar del avance en todas las especialidades implicadas, creemos que la adecuada cobertura con colgajos microvascularizados es clave para obtener la consolidación, sin infección, de estas fracturas.Palabras clave Fractura abierta tibia, Reconstrucción miembro inferior, Colgajos libres. Nivel de evidencia científica 4 AbstractThe purpose of this article is to report our clinical experience of lower extremity microsurgical reconstruction in severe Gustilo IIIB or IIIC open tibial fractures, and to describe our treatment protocol for these patients.Fifty-one free flaps were used in 49 consecutive patients. Debridement and stabilization of the fracture were invariably performed in the first day of the injury. The number of debridements prior to definitive treatment was between 1-3 (mean 2,1). Severe soft-tissue defects requiring flap coverage were treated 6-19 days (mean 9,3 days). Survival was achieved in 46 flaps (90,2%); the 5 free flaps failed were solved 2 with limb amputation, one with a secondary free flap, and 2 with cross-leg flaps.Twenty-three (47%) fractures progressed to primary bony union while 26 (53%) required a bone-stimulating procedure to achieve this outcome. Overall, there was a rate of deep infection at the site of fracture of 4%, and of serious infected bony nonunion of 4%. One extremity underwent secondary amputation. The salvage rate of functional limb was 94%.Severe open tibial fractures should be referred directly to specialist centres for simultaneous combined management by orthopaedic and plastic surgeons. Although the various specialties involved in the management of severe limb injuries have significantly improved over the past few decades, successful free-flap reconstruction is key to ensuring an infection-free fracture union.

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The Role of the Distal Runoff Vessel of the Descending Branch of the Lateral Circumflex Femoral System in Anterolateral Thigh Flap Surgery

Zhu

Wang

et al. 2016

Annals of Plastic Surgery

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Versatility of the lateral circumflex femoral arterial (LCFA) system flaps for lower extremity soft tissue reconstruction

Cited by 3 publications

References 41 publications

Telemedicine support aids lower limb reconstruction after combat injury in Ukraine

Telemedicine support aids lower limb reconstruction after combat injury in Ukraine

Tratamiento de fracturas abiertas de tibia grado IIIB-IIIC de Gustilo con colgajos libres microvascularizados

The Role of the Distal Runoff Vessel of the Descending Branch of the Lateral Circumflex Femoral System in Anterolateral Thigh Flap Surgery

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