Related Experiment Video
Updated: Jul 19, 2025
08:18
Engineered Vascularized Muscle Flap
Published on: January 11, 2016
8.3K
Reconstruction option in complex lower extremity defects where microsurgical repair is not possible: Randomized
İlker Uyar1, Ersin Aksam1, Kadir Yit1
1Department of Plastic, Reconstructive and Aesthetic Surgery, İzmir Katip Celebi University, İzmir-Türkiye.
Summary
Bipedicled flaps offer a reliable solution for reconstructing lower extremity defects, especially when free flaps are not feasible. This method proves effective even in patients with conditions like diabetes, promoting successful wound healing.
Area of Science:
- Orthopedics
- Plastic Surgery
- Reconstructive Surgery
Background:
- Lower extremity defects arise from diverse causes including trauma, peripheral arterial disease, diabetic foot infections, tumor resection, gunshot injuries, and burns.
- Defect presentation varies based on anatomical location, tissue amount, and tissue content.
Purpose of the Study:
- To evaluate bipedicled flaps as a simple and reliable salvage method for lower extremity defects.
- To present the application of bipedicled flaps when microsurgical repairs like free flaps are not possible.
Main Methods:
- Retrospective analysis of patients with lower extremity soft-tissue defects between March 2018 and September 2021.
- Inclusion of patients repaired with bipedicled flaps, with a minimum follow-up of 12 months.
- Data collection included flap viability, wound dehiscence, and soft-tissue infection assessments.
Main Results:
- Twenty-three patients with lower extremity defects repaired with bipedicled flaps were analyzed.
- Defects were primarily located in the distal third of the leg (19 patients).
- Minor complications (infection, dehiscence) were managed effectively; no major flap or graft loss occurred.
Conclusions:
- Randomized bipedicled flaps are a highly reliable option for reconstructing middle and distal lower extremity defects.
- This technique is suitable for small to medium-sized defects and can be safely used in patients with comorbidities affecting wound healing, such as diabetes mellitus and peripheral arterial disease.
