Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Distally based free flap using retrograde arterial flow.

M G Lee1, K W Minn

  • 1Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, South Korea.

Plastic and Reconstructive Surgery
|January 10, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

H. pylori predictors and outcomes among adults undergoing upper endoscopy at a Jamaican teaching hospital: A cross-sectional study.

Helicobacter·2023
Same author

Risk of malignancy in patients with psoriasis: a 15-year nationwide population-based prospective cohort study in Korea.

Journal of the European Academy of Dermatology and Venereology : JEADV·2019
Same author

Neopepsee: accurate genome-level prediction of neoantigens by harnessing sequence and amino acid immunogenicity information.

Annals of oncology : official journal of the European Society for Medical Oncology·2018
Same author

Preadmission statin use improves the outcome of less severe sepsis patients - a population-based propensity score matched cohort study.

British journal of anaesthesia·2017
Same author

Multiple, spontaneous, noninflammatory cutaneous atrophic pits on the extremities.

Clinical and experimental dermatology·2017
Same author

Determination of the Nail Psoriasis Severity Index improvement rate standards for nail psoriasis treatment in a phase IV clinical trial of ustekinumab: the MARCOPOLO study.

Journal of the European Academy of Dermatology and Venereology : JEADV·2016
Same journal

Building Practical Artificial Intelligence Tools For The Plastic Surgeon: A Step-By-Step Guide To Cowork.

Plastic and reconstructive surgery·2026
Same journal

Interpretation Matters: Common Statistical Pitfalls in Retrospective Surgical Research.

Plastic and reconstructive surgery·2026
Same journal

"Inferior Repositioning of the High-Riding Nipple Using a Parenchymal-Based Flap".

Plastic and reconstructive surgery·2026
Same journal

A Four-Step Strategy for the Treatment of Facial Rhytids: A Focus on Upper Facial Wrinkles.

Plastic and reconstructive surgery·2026
Same journal

Evaluating Long-Term Retention of Fresh-Frozen Costal Cartilage Allograft in An Animal Model.

Plastic and reconstructive surgery·2026
Same journal

Manual extrusion of fat granules for primary thinning of a bulky flap.

Plastic and reconstructive surgery·2026
See all related articles

Retrograde arterial flow is a successful technique for lower extremity reconstruction in patients with damaged arteries. This method avoids disrupting major blood vessels, potentially improving fracture and wound healing outcomes.

Area of Science:

  • Vascular Surgery
  • Reconstructive Surgery
  • Trauma Surgery

Background:

  • Major arteries in lower extremity injuries are often damaged, complicating reconstruction.
  • Vascular anastomoses distal to injury zones using retrograde arterial flow are increasingly advocated for limb salvage.

Purpose of the Study:

  • To evaluate the efficacy of distally based free flaps utilizing retrograde arterial flow for lower extremity reconstruction below the knee.

Main Methods:

  • Twelve patients with soft-tissue defects below the knee underwent reconstruction with distally based free flaps.
  • Retrograde arterial pressure was quantitated and compared to systolic blood pressure in six patients to assess retrograde flow.
  • Patient selection criteria included the presence of pulsatile retrograde flow.

Related Experiment Videos

Main Results:

  • All four types of free flaps used in the twelve patients were successful.
  • Pulsatile retrograde flow was a key indicator for successful anastomosis, as non-pulsatile flow correlated with very low pressures.

Conclusions:

  • Retrograde arterial anastomosis is a viable and successful option for lower extremity reconstruction, particularly when major vessels are compromised.
  • This technique can prevent disruption of essential limb vasculature, potentially mitigating issues with fracture and wound healing.