Main description:

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 book includes complimentary access to a digital copy on https://medone.thieme.com.

Contents:

1. Our Introduction to Lower Extremity Reconstruction

2. Assessment of the Normal and the Impaired Lower Extremity

3. Indications for Vascular Intervention in Lower Extremity Reconstruction

4. Orthopaedic Evaluation of the Lower Extremity and the Concept of the Orthoplastic Approach

5. Surgical Approach to Pediatric Bone and Soft-Tissue Tumors of the Lower Extremity

6. Spare-Part Surgery

7. Using the Flap and Angiosome Concepts to Optimize Functional Lower Leg and Foot Amputations

8. Vascular Anatomy of the Lower Extremity: A Practical Guide to Vascular Territories, Perforators and Selection of Recipient Vessels

9. Importance of Vascularity and Selecting the Recipient Vessels in Lower Extremity Reconstruction

10. General Wound Preparation and Timing

11. The Pertinence of the Reconstructive Ladder and the Reconstructive Elevator

12. Nonflap Wound Closure Alternatives: Skin Graft, Skin Substitute, Skin Stretch, and Negative-Pressure Wound Therapy

13. The Process for Flap Selection by Region of the Lower Extremity

14. Basic Practical Lower Limb Muscle Local Flaps

15. Basic Local Perforator Flaps of the Lower Extremity

16. Common Versatile Free Flaps for the Lower Extremity

17. Supermicrosurgery Approach to the Lower Limb

18. Diabetic Foot Reconstruction

19. Rationale for Lower Limb Sensate Flaps

20. A New Concept in Drop Foot Treatment: Ninkovi 's Technique-the Neuromusculotendinous Gastrocnemius Transfer

21. Modern Concepts of Prosthetic Rehabilitation in Amputation of the Lower Extremity

22. Procurement of Thin Flaps as Indicated in the Lower Extremity

23. Bone Flaps and Bone Transport for Lower Limb Reconstruction

24. Surgical Treatment for Lower Extremity Lymphedema

25. Lower Limb Vascularized Composite Allotransplantation

26. Perioperative Care and Rehabilitation Specific to the Lower Limb