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The Essential Local Muscle Flaps for Lower Extremity Reconstruction.
Andrew Atia1, Rebecca Vernon2, Bryan J Pyfer1
1Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, North Carolina.
Journal of Reconstructive Microsurgery
|April 18, 2020
Summary
This study identifies essential local muscle flaps for lower extremity reconstruction, offering surgeons guidance for durable soft tissue defect coverage and improved patient quality of life.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Lower extremity reconstruction presents significant challenges impacting patient quality of life.
- Complex lower extremity defects require careful planning for durable tissue coverage.
- Local muscle flaps are crucial for successful reconstructive outcomes.
Purpose of the Study:
- To present essential local muscle flaps for lower extremity reconstruction.
- To discuss guiding principles for reconstructive surgeons.
- To provide a resource for managing complex lower extremity defects.
Main Methods:
- A comprehensive literature review was conducted using PubMed.
- Identification of commonly utilized local muscle flaps for lower extremity reconstruction.
- Analysis of common considerations associated with each identified flap.
Main Results:
- Essential local muscle flaps were identified and categorized by anatomical defect region.
- General operative considerations and postoperative management strategies were detailed.
- Information was compiled to assist surgeons in operative decision-making.
Conclusions:
- Numerous reliable local muscle flaps exist for lower extremity reconstruction.
- These flaps provide durable coverage for diverse soft tissue defects.
- Successful reconstruction depends on careful consideration of multiple factors.
