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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

151
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
151

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Updated: Jun 30, 2026

Spinal Cord Lateral Hemisection and Asymmetric Behavioral Assessments in Adult Rats
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Bilateral Lower Limb Injuries and the Need for Two Free Flaps: Simultaneous or Sequential.

R Srikanth1, D Mukunda Reddy2, R Parvathi1

  • 1Department of Plastic & Reconstructive Surgery, Nizam's Institute of Medical Sciences, Hyderabad, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|March 13, 2025
PubMed
Summary
This summary is machine-generated.

This study analyzed free flap reconstruction for bilateral lower limb trauma. Single donor sites with chimeric flaps offer efficiency, while twin ALT or latissimus dorsi flaps necessitate staged procedures.

Keywords:
ALT-rectus femoris flapbilateralfillet free flapfoot defectfree flaplower limb injury

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Area of Science:

  • Reconstructive Microsurgery
  • Trauma Surgery
  • Limb Reconstruction

Background:

  • Bilateral lower limb trauma presents complex reconstructive challenges.
  • Free flap reconstruction is a critical option for extensive lower limb defects.

Purpose of the Study:

  • To guide the selection of flap coverage for bilateral lower limb trauma.
  • To develop a planning strategy for bilateral lower limb free flaps.

Main Methods:

  • Retrospective analysis of 11 patients (22 defects) from 2000-2020.
  • Evaluation of free flap reconstruction (simultaneous or sequential).

Main Results:

  • Three re-explorations and one flap loss occurred, managed with delayed fasciocutaneous flap.
  • Minimal donor site morbidity; two patients required secondary split-thickness skin grafts (SSG).

Conclusions:

  • Single donor sites with chimeric flaps optimize time and tissue.
  • Harvesting twin anterolateral thigh (ALT) flaps or using latissimus dorsi requires staged surgery to prevent prolonged operative times.