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Titlebook: Handbook of Lower Extremity Reconstruction; Clinical Case-Based Scott T. Hollenbeck,Peter B. Arnold,Dennis P. Orgi Book 2020 Springer Natu

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The Traumatized Legins with the initial trauma evaluation and stabilization. Multidisciplinary care is essential and typically involves trauma/critical care, plastic surgery, orthopedic surgery, and vascular surgery for the goal of limb salvage and prevention of complications.
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Reconstruction of Oncologic Defectsnd cutaneous malignancies [1, 2]. The reconstructive surgeon is frequently called upon to close large defects spanning multiple tissue layers. Historically, limb amputation was the standard of care, but new therapies and reconstructive advances have ushered in an era of limb salvage. Restoration of
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Local Skin Flaps for Lower Extremity Woundsthe defect is large and deep, a muscle flap may be required to obliterate the dead space, but when the defect is limited in its size and complexity, a local fasciocutaneous flap may suffice. These flaps can be elevated and positioned using a number of techniques described in this chapter.
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Soft Tissue Reconstruction of the Thighsion. Commonly, the plastic surgeon is tasked with providing soft tissue for a traumatic or iatrogenic wound to cover vital vascular structures, fill large dead space, protect implants or hardware, or resurface areas prone to chronic pressure. Thankfully, the proximal lower extremity is uniquely sui
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Soft Tissue Reconstruction of the Middle Third of the Leg easily devascularized. Injuries to this part of the leg are high-energy, frequently resulting in comminution of both the tibia and fibula. Concomitant soft tissue degloving and necrosis are the norm. Goals of reconstruction at this level include durable coverage of open fractures or denuded bone in
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Soft Tissue Reconstruction of the Distal Third of the Lower Extremityions, favoring the use of free tissue transfer. Additional factors, such as degree of local injury, vascular insult, and co-morbid conditions, often guide surgical decision-making. Regardless of the modality, reconstructive goals remain the same: achievement of stable wound coverage without impeding
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