TY - JOUR

T1 - Regionale Weichteilrekonstruktion an der unteren Extremität

AU - Schmidt, Volker J

AU - Kneser, Ulrich

N1 - Georg Thieme Verlag KG Stuttgart · New York.

PY - 2019

Y1 - 2019

N2 - The present refresher article highlights the current role of pedicled flaps in the reconstruction of complex wounds at the lower extremity. Due to the increasing standardization and ongoing improvements in microsurgery and in view of the fact that local tissue limitation and elevated rates of wound healing disorders reduced the attraction of pedicled flaps to the lower extremity, free flaps became a serious alternative. However, in consideration of the individual patient demand pedicled flaps to the lower extremity still have their eligibility and can be superior to free flaps in selected cases. Here we present a short guide for the general use and indications of pedicled flaps particular to the lower extremity and give a detailed overview of five established pedicled flaps. Based on our experience we provide pitfalls and pearls and discuss the reconstructive decision-making in light of the alternative free flap option.

AB - The present refresher article highlights the current role of pedicled flaps in the reconstruction of complex wounds at the lower extremity. Due to the increasing standardization and ongoing improvements in microsurgery and in view of the fact that local tissue limitation and elevated rates of wound healing disorders reduced the attraction of pedicled flaps to the lower extremity, free flaps became a serious alternative. However, in consideration of the individual patient demand pedicled flaps to the lower extremity still have their eligibility and can be superior to free flaps in selected cases. Here we present a short guide for the general use and indications of pedicled flaps particular to the lower extremity and give a detailed overview of five established pedicled flaps. Based on our experience we provide pitfalls and pearls and discuss the reconstructive decision-making in light of the alternative free flap option.

KW - Humans

KW - Lower Extremity/injuries

KW - Plastic Surgery Procedures/methods

KW - Soft Tissue Injuries/surgery

KW - Surgical Flaps/surgery

U2 - 10.1055/s-0043-124091

DO - 10.1055/s-0043-124091

M3 - Tidsskriftartikel

C2 - 30786300

VL - 157

SP - 95

EP - 108

JO - Zeitschrift fur Orthopadie und Unfallchirurgie

JF - Zeitschrift fur Orthopadie und Unfallchirurgie

SN - 1864-6697

IS - 1

ER -