Search results for: reconstructive-surgery-of-the-lower-extremity

Reconstructive Surgery of the Lower Extremity

Author : Lee L. Q. Pu
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This is the first book available today on this important topic for all surgeons performing reconstructive procedures of the lower extremity. It represents the state-of-the art in reconstructive surgery of the lower extremity by the world experts. The editors are assisted by more than 30 well-known experts in reconstructive surgery from major centers in the United States, Asia, and Europe. They represent many new or refined techniques for lower extremity reconstruction. This comprehensive two-volume set is filled with clinical information to help you deal with both routine and complex cases. This is a book that you will turn to time and again as you plan the best strategy for dealing with difficult reconstructive problems of the lower extremity to ensure the best functional as well as aesthetic result. The book consists of 77 chapters and is divided into four parts. The first part summarizes the general principles, evaluation, and management of each type of injury in the lower extremity, as well as the clinical outcome and psychosocial impact of the lower extremity trauma. The second part primarily focuses on soft-tissue reconstruction. In this part, twenty-one commonly used local and free flaps are presented step-by-step in each chapter. One of these flaps, the free anterolateral thigh skin perforator flap has become a workhorse in many centers and is well described by both American and Asian authors. Several other perforator flaps and free-style flaps are also included in this book. The third part primarily focuses on bone and joint reconstruction and management of nonunion; while the fourth part focuses on specialized considerations in lower extremity reconstruction. Beautifully Illustrated The educational value of this two-volume work is enormously enhanced by the superb medical illustrations that grace its pages. The book has beautiful artwork that depicts the step-by-step surgical technique for each of the operations that are described. Two DVDs with Video Two DVDs with operative video complement this reference and provide additional educational value.

Reconstructive Surgery of the Lower Extremity

Author : Lee L. Q. Pu
File Size : 63.15 MB
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Handbook of Lower Extremity Reconstruction

Author : Scott T. Hollenbeck
File Size : 20.94 MB
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This focused, concise book offers an in-depth analysis of lower extremity reconstruction alongside region-specific photos and illustrations. As an anatomical atlas, it seeks to aid the visual learner in showcasing the key steps in setting up and raising the flap for a given defect. Organized into two sections, opening chapters are arranged by general location, focusing specifically on the lower limb. Each general location of a wound is accompanied by an examination of relevant anatomy, including blood supply, nerve supply, arc of rotation of the tissue, and local flap options. Following a description of the anatomy, subsequent paragraphs explain the application of relevant local flap options. Section two incorporates flap demonstration and application into each chapter, offering a more detailed description, true and specific to each anatomical site of the technique. Supplemented by high-quality images and figures, Handbook of Lower Extremity Reconstruction: Clinical Case-Based Review and Flap Atlas is an invaluable reference for practicing plastic and orthopedic surgeons and residents in training.

Lower Extremity Reconstruction

Author : Joon Pio Hong
File Size : 41.20 MB
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"I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and 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 five sections, 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 26 videos and more than 500 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.

Plastic Surgery E Book

Author : David H Song
File Size : 69.35 MB
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Fully updated to meet the demands of the 21st-century surgeon, Lower Extremity, Trunk and Burns Surgery, Volume 4 of Plastic Surgery, 3rd Edition, provides you with the most current knowledge and techniques across your field, allowing you to offer every patient the best possible outcome. Access all the state-of-the-art know-how you need to overcome any challenge you may face and exceed your patients’ expectations. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Apply the very latest advances in extremity, trunk, and burn plastic surgery and ensure optimal outcomes with evidence-based advice from a diverse collection of world-leading authorities. Purchase this volume individually or own the entire set, with the ability to search across all six volumes online! Apply the latest techniques in lower extremity, trunk, and burn reconstruction, including microsurgical lymphatic reconstruction, super microsurgery, sternal fixation, and more. Know what to look for and what results you can expect with over 950 photographs and illustrations. See how to perform key techniques with 12 surgical videos online. Access the complete, fully searchable contents online, download all the tables and figures, and take advantage of additional content and images at www.expertconsult.com!

Contemporary Approach to Lower Extremity Reconstruction An Issue of Clinics in Plastic Surgery E Book

Author : Lee L.Q. Pu
File Size : 81.62 MB
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This issue Clinics in Plastic Surgery, guest edited by Dr. Lee L.Q. Pu, is dedicated to Contemporary Approach to Lower Extremity Reconstruction. Topics in this issue include—but are not limited to—locoregional flaps, free flaps, propeller flaps, perforator-plus flaps, local free-style perforator flaps, free-style free perforator flaps, anterolateral thigh perforator flap, superficial circumflex iliac artery perforator flap, medial sural artery perforator flap, optimal timing of traumatic lower extremity reconstruction, management of Gustilo Type IIIC injuries, orthoplastic approach, functional restoration, lower extremity reconstruction after soft tissue sarcoma resection, super-microsurgery, free tissue transfers to lower extremity, and lower extremity reconstruction for limb salvage.

Plastic Surgery

Author : David H. Song
File Size : 64.15 MB
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Fully updated to meet the demands of the 21st-century surgeon, this title provides you with all the most current knowledge and techniques across your entire field, allowing you to offer every patient the best possible outcome. Edited by Drs. Mathes and Hentz in its last edition, this six-volume plastic surgery reference now features new expert leadership, a new organization, new online features, and a vast collection of new information - delivering all the state-of-the-art know-how you need to overcome any challenge you may face. Renowned authorities provide evidence-based guidance to help you make the best clinical decisions, get the best results from each procedure, avoid complications, and exceed your patients' expectations.

Corrective Osteotomies of the Lower Extremity after Trauma

Author : G. Hierholzer
File Size : 52.12 MB
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The reconstructive surgery of posttraumatic deformities has made significant advances in recent years. Reports on technical progress and clinical results are encouraging, even though they have often raised patient expectations to an unrealistic level. The operative methods available to us today enable corrective osteotomies to be performed with a high degree of accuracy and success. Precisely because the sequelae of trauma are so difficult to schematize, every case must be evaluated individually based on a critical assessment of subjective complaints, diagnosis and prognosis before a decision can be made. The planning and execution of corrective procedures are carried out with the same meticulous care as for idiopathic limb deformities. However, the occurrence of a traumatizing event with its immediate and long-term complications calls for special insight in the setting of therapeutic goals. It is essential that the patient be appraised of the results that can reasonably be expected and of the risks that are involved. Success in therapeutic procedures requires detailed theoretical knowledge, thorough operative training, and a strong commitment on the part of the surgeon. It is these aspects of the corrective surgery of posttraumatic deformities with which the editors are principally concerned.

Lower Extremity Soft Tissue Cutaneous Plastic Surgery

Author : G Dock Dockery
File Size : 70.26 MB
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Unlike any other podiatric text available, this new textbook focuses on the treatment of skin and soft tissue problems of the foot and ankle area using techniques borrowed from facial plastic surgery, hand reconstructive surgery and general soft tissue plastic surgery fields and modified to be used on the foot and ankle areas. This textbook provides a detailed outline and description of evaluating, examining and documenting lower extremity skin and soft tissue conditions. It addresses these problems with a variety of techniques including suturing, incisional and excisional techniques, along with the appropriate reconstructive and plastic surgical procedures for each condition. Includes all current techniques of revisional skin surgery and basic plastic surgery Features an abundance of illustrations and photographs. Reviews topics such as Preoperative Patient Evaluation, Cutaneous Anatomy, and Surgical Principles of Lower Extremity Surgery to prepare readers for studying the surgical techniques outlined in the text. Covers excisional techniques and biopsy techniques as they pertain to the foot and ankle. Outlines and defines the use of plastic surgery techniques - V-Y and Y-V; Z-plasty and W-plasty - for conditions of the foot and ankle and lower leg. These techniques can be used in the foot and ankle region for scar contracture which is a frequent complication of lower extremity surgery. Includes multiple examples of appropriate techniques for correction of toenail and digital deformities. Presents a large number of lower extremity soft tissue masses with the appropriate techniques for surgical management. Outlines the specific indications and techniques for performing the advancement and rotation flaps for the lower extremity; these can be used to provide coverage for soft tissue defects.

Flaps and Reconstructive Surgery E Book

Author : Fu-Chan Wei
File Size : 20.12 MB
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Flaps and Reconstructive Surgery, by Drs. Fu-Chan Wei and Samir Mardini, explains how to achieve excellent results while performing all major conventional and perforator flaps used as both pedicled and free flap procedures. Respected microsurgeons from around the world describe how to use these flaps to reconstruct particular defects around the body. Videos demonstrate the entire spectrum of surgical reconstructive procedures and flaps, while high-quality illustrations, clear photographs and detailed case studies provide examples to help you achieve best possible outcomes. See how to make optimal use of perforator flaps for reconstruction of the mandible, maxilla, forehead, lower extremity ... pedicled flaps for reconstruction of shoulder motion in brachial plexus palsy ... anterolateral thigh flaps for reconstruction of defects in the head and neck, upper extremity, and lower extremity ... temporoparietal fascia flap for ear reconstruction ... nerve grafts for obstetric brachial plexus palsy reconstruction ... groin flaps for hand reconstruction ... harvest of the trimmed great toe, second toe, and combined second and third toe for hand and finger reconstruction ... harvest of the radial forearm flap ... exposure of recipient vessels in the facial artery and vein, transverse cervical artery and vein, and superficial temporal artery and vein ... and much more. Benefit from the knowledge, experience and unique insight of many of the world's most respected reconstructive micro surgeons. Watch surgeons perform procedures in real time with an unparalleled two-hour video collection that demonstrates harvest of the fibula flap for use in mandible reconstruction, the jejunum for esophagus reconstruction, and the SIEA, DIEP and IGAP flaps for breast reconstruction ... functioning muscle transfers for a variety of defects, including the gracilis muscle for facial reanimation and the gracilis musculocutaneous flap for finger flexion reconstruction with innervation using the intercostal nerves ... lymphaticovenous anastomoses and microvascular anastomosis of the artery using suture techniques and anastomosis of the vein ... and many other essential techniques. Visualize what to look for and how to proceed with high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. Read detailed case studies that illustrate how to optimize every aspect of the care of the reconstructive surgery patient, including the postoperative period and long-term follow-up.

Tarascon Plastic and Reconstructive Surgery Pocketbook

Author : James A. Chambers
File Size : 29.66 MB
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The first pocket-sized reference of its kind, the Tarascon Plastic & Reconstructive Surgery Pocketbook provides a concise, up-to-date snapshot into the key areas of both aesthetic and reconstructive surgery. Organized by anatomic region, this must have guide includes management of traumatic, congenital, malignant, infectious and degenerative conditions divided into the following areas: * Craniofacial * Upper extremity * Breast * Torso * Lower extremity reconstruction The Tarascon Plastic & Reconstructive Surgery Pocketbook is an essential pocket reference for medical student rotating on a plastic surgery service as well as plastic surgeons reviewing for their oral boards.

Plastic Surgery E Book

Author : David H Song
File Size : 39.75 MB
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Completely revised to meet the demands of today’s trainee and practicing plastic surgeon, Lower Extremity, Trunk and Burns, Volume 4 of Plastic Surgery, 4th Edition, features new full-color clinical photos, dynamic videos, and authoritative coverage of hot topics in the field. Editor-narrated video presentations offer a step-by-step audio-visual walkthrough of techniques and procedures in plastic surgery. Offers evidence-based advice from a diverse collection of experts to help you apply the very latest advances in lower extremity, trunk, and burn surgery and ensure optimal outcomes. Provides updated coverage of: Lymphedema microsurgery; Transgender surgery; and Skin grafting and reconstructive surgery for burns.

An Anatomical Approach to Lower Extremity Reconstructive Surgery

Author : Addison R. Wood
File Size : 39.60 MB
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Orthopaedic surgery of the lower extremity can be approached in several ways, but many times it is divided into soft tissue and boney reconstructive modalities. Orthopaedic sports surgery subspecialists tend to focus on soft tissue reconstruction; often with the goal of restoring as much natural motion as possible. Adult reconstructive orthopaedic surgery subspecialists often focus on boney alignment and use implants to replace degenerated cartilage and bone. There is significant overlap in these subspecialties as both make use of implants to mimic the structure and function of native anatomy to drive stability and motion. This dissertation focuses on the intersection of biomechanics, anatomy, and clinical orthopaedics of these two subspecialties. These areas are addressed through investigation of anatomical variation, muscular architecture, simulator design and construction, and comparative effectiveness via in vitro simulation. Native anatomy directs all functions of the lower extremity via muscle forces, bone, and soft tissue. We demonstrate first that native anatomy is variable and is largely subject specific through a simple case report on bilateral tendinous foramina to serve as an example as one of many variations that can occur with anatomy. Many generalities are made with anatomy in assuming everything looks like a textbook, but in reality surgeons approach and consider each patient’s specific anatomy when performing surgery. This translates over to the basic science research realm where experimental input and methods should subject specific as well in attempts to simulate kinematics of in vivo subjects. Muscle forces are integral to proper kinematics and in vitro simulation. We describe the muscular architecture of the popliteus muscle with physiological cross sectional area (PCSA) and muscle trajectory data. Analysis revealed that females are capable of producing more force in their popliteus muscle in proportion to their semimembranosus muscle than males. In addition, significant differences were found between male and female PCSA. The popliteus muscle trajectory data when combined with muscle force data suggests the popliteus muscle plays a significant dynamic role in knee kinematics. The popliteus has only been studied as a static muscle in prior literature. Our data suggests that treating the popliteus muscle as a dynamic figure in the knee would allow improved simulations focused on native knee kinematics and kinetics. During cruciate retaining total knee arthroplasty (TKA) the posterior cruciate ligament (PCL) is an important structural determinant of motion. The PCL is at risk for damage during surgery as one of the tibial bone cuts is directly oriented towards the tibial PCL attachment. An effectiveness study was performed to examine prevention of iatrogenic PCL injuries using an osteotome in a simulated surgical environment using cadavers. The use of an osteotome was found to have an absolute risk reduction of 50% when compared to the control group which did not use an osteotome to protect the PCL. The use of an osteotome to preserve the PCL during CR TKA by forming a bone island was found to be an effective means of protecting the PCL over standard technique. This method is hypothesized to reduce the incidence of instability and knee joint laxity after CR TKA by maintaining the PCL and therefore kinematic quality. Simulators enable mimicry of clinically relevant maneuvers performed in vivo with expanded potential to perform research considered unethical on living subjects. The creation of 3 separate simulators enabled description of clinically relevant kinematic situations in the knee and ankle. The University of North Texas Health Science Center (UNT HSC) ankle rig was designed to mimic an external rotational stress test of the ankle by an examiner. It allows simultaneous measurement of torque about the ankle, ultrasound imaging, and 3-dimensional motion tracking as a moment is applied to the ankle. This rig was of novel design and allows for controlled static positioning of the ankle with 6 degrees of freedom of control. In addition, it can allow 6 degrees of freedom to occur unconstrained if necessary. The UNT HSC ankle rig was used to stress test syndesmosis fixation using suture-button and internal brace constructs. The other 2 simulators represent a progression of improvement from a basic passive knee rig to a more advanced muscle loading knee rig. The initial simulator loaded the quadriceps and hamstrings through 1 line of action each while allowing the knee to passively flex and extend. The second-generation design was based on the muscle loading rig from The University of Kansas. It uses 3 lines of action to load the quadriceps and 2 lines of action to load the hamstrings with anatomically correct trajectories while allowing the knee to passively flex and extend. These simulators were built to enable in vitro simulations of the knee and ankle to describe kinematic changes from lower extremity reconstructive surgery. Ankle syndesmosis injuries are common and are traditionally treated with simple cortical screw fixation. Newer implants like the suture-button and internal brace seek to restore physiological motion at the syndesmosis by mimicking native structure and function. We used the UNT HSC ankle rig to demonstrate the ability of combinational fixation constructs to restore physiological motion at the syndesmosis. The results indicate a combined suture-button and internal brace construct more closely resembles physiologic ankle syndesmosis kinematics than the suture-button alone. In addition, we described the mechanism through which this occurs. The suture-button or internal brace alone do not adequately restrain motion, but together they do. This is due to the external rotation of the fibula. As the fibula externally rotates it allows the fibula to translate posteriorly more with the suture-button only construct. The internal brace is added to the initial suture-button only construct and restricts external rotation and the resultant vector of restraint from both implants prevents posterolateral directed forces from inducing movement of the fibula. In conclusion, we have described factors effecting physiologic motion through our anatomical variation and muscle architecture data that were applied to in vitro simulations to produce clinically relevant results. These data also show that careful restoration of native anatomical structure can produce more physiological kinematics in the knee and ankle.

Lower Extremity Soft Tissue and Cutaneous Plastic Surgery

Author : Gary L. Dockery
File Size : 37.56 MB
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Unlike any other podiatric text available, this new textbook focuses on the treatment of skin and soft tissue problems of the foot and ankle area using techniques borrowed from facial plastic surgery, hand reconstructive surgery and general soft tissue plastic surgery fields and modified to be used on the foot and ankle areas. This textbook provides a detailed outline and description of evaluating, examining and documenting lower extremity skin and soft tissue conditions. It addresses these problems with a variety of techniques including suturing, incisional and excisional techniques, along with the appropriate reconstructive and plastic surgical procedures for each condition. Includes all current techniques of revisional skin surgery and basic plastic surgery Features an abundance of illustrations and photographs. Reviews topics such as Preoperative Patient Evaluation, Cutaneous Anatomy, and Surgical Principles of Lower Extremity Surgery to prepare readers for studying the surgical techniques outlined in the text. Covers excisional techniques and biopsy techniques as they pertain to the foot and ankle. Outlines and defines the use of plastic surgery techniques - V-Y and Y-V; Z-plasty and W-plasty - for conditions of the foot and ankle and lower leg. These techniques can be used in the foot and ankle region for scar contracture which is a frequent complication of lower extremity surgery. Includes multiple examples of appropriate techniques for correction of toenail and digital deformities. Presents a large number of lower extremity soft tissue masses with the appropriate techniques for surgical management. Outlines the specific indications and techniques for performing the advancement and rotation flaps for the lower extremity; these can be used to provide coverage for soft tissue defects.

Reconstructive Plastic Surgery The lower extremity the trunk the genitourinary tract

Author : John Marquis Converse
File Size : 36.69 MB
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Contemporary Approach to Lower Extremity Reconstruction an Issue of Clinics in Plastic Surgery Volume 48 2

Author : Lee L. Q. Pu
File Size : 66.95 MB
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This issue Clinics in Plastic Surgery, guest edited by Dr. Lee L.Q. Pu, is dedicated to Contemporary Approach to Lower Extremity Reconstruction. Topics in this issue include-but are not limited to-locoregional flaps, free flaps, propeller flaps, perforator-plus flaps, local free-style perforator flaps, free-style free perforator flaps, anterolateral thigh perforator flap, superficial circumflex iliac artery perforator flap, medial sural artery perforator flap, optimal timing of traumatic lower extremity reconstruction, management of Gustilo Type IIIC injuries, orthoplastic approach, functional restoration, lower extremity reconstruction after soft tissue sarcoma resection, super-microsurgery, free tissue transfers to lower extremity, and lower extremity reconstruction for limb salvage.

Flaps and Reconstructive Surgery E Book

Author : Fu-Chan Wei
File Size : 38.65 MB
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With coverage of nearly twice the number of flaps as the previous edition, Flaps and Reconstructive Surgery, 2nd Edition provides trainees and practicing surgeons alike with the detailed, expert knowledge required to ensure optimal outcomes. It includes chapters and expert commentaries from more than 100 authors and world-renowned leaders in the field, while brand-new cases and high-quality illustrations focused on flap harvest, markings, and reconstruction keep you abreast of today's latest developments. Includes high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. Detailed case studies illustrate how to optimize every aspect of care for the reconstructive surgery patient, including the postoperative period and long-term follow-up. Brand-new section on reconstruction takes an algorithmic approach to the reconstruction of defects around the body. Features chapters covering the entire spectrum of reconstructive surgery, including head and neck reconstruction, chest wall reconstruction, abdominal wall, upper and lower extremity, and facial reanimation. Content focuses on both local and free flaps. New section on reconstructive transplant surgery highlights major topics such as face and hand transplantations, abdominal wall transplantation, uterus transplantation, and nerve allotransplantation.

Arterial Reconstruction in the Lower Extremity

Author : Herbert Dardik
File Size : 68.52 MB
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Orthoplastic Techniques for Lower Extremity Reconstruction Part II an Issue of Clinics in Podiatric Medicine and Surgery

Author : Edgardo R. Rodriguez-Collazo
File Size : 52.34 MB
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Guest edited by Drs. Edgardo R. Rodriguez-Collazo and Suhail Masadeh, this issue of Clinics in Podiatric Medicine and Surgery is Part II of the Editors' two-part issue on Orthoplastic techniques for lower extremity reconstruction. This issue is one of four selected each year by our series Consulting Editor, Dr. Thomas Chang. Articles in this issue include, but are not limited to: The Role of Bone Marrow Aspirate in Osseous and Soft Tissue Pathology; Reconstructive Pedal Amputation; A Surgical Approach to Location Specific Neuropathic Foot Ulceration; A Novel Technique of External Fixation For Immediate Post-Operative Ambulation And Protection Of Soft Tissue Reconstructions; Classification and Management of stump neuroma; Treatment Protocol for Peripheral Nerve Dysfunction of the Lower Extremity: A Systematic Approach; Targeted Muscle Reinnervation for the Management of Drop Foot; Membrane induced technique for the management of combine soft tissue and osseous defects; Management of Osseous Defects in the Tibia; and Vascularized fibula free and fibular medialization for the management of bone defects.

Lower Extremity Reconstruction

Author : Joon Pio Hong
File Size : 33.51 MB
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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.