Outcomes of Lower Extremity Defects Reconstruction with Free Flaps

Background: The aims of soft-tissue reconstruction of lower leg defects are covering and repairing wounds, maintaining limb function, preventing amputation, and improving quality of life. Methods: In this cross-sectional study, 27 patients underwent soft-tissue reconstruction of lower extremities w...

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Main Authors: Mehrdad Adibparsa, Mehdi Rasti-Ardakani, Razieh Karimi
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2017-09-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/8342
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author Mehrdad Adibparsa
Mehdi Rasti-Ardakani
Razieh Karimi
author_facet Mehrdad Adibparsa
Mehdi Rasti-Ardakani
Razieh Karimi
author_sort Mehrdad Adibparsa
collection DOAJ
description Background: The aims of soft-tissue reconstruction of lower leg defects are covering and repairing wounds, maintaining limb function, preventing amputation, and improving quality of life. Methods: In this cross-sectional study, 27 patients underwent soft-tissue reconstruction of lower extremities with free flaps were enrolled. The cause and the site of defects, free flap types, anastomosis types, survival rate, and complications were assessed. Findings: 27 patients with mean age of 31 years with large lower extremity defects with at least 2 months follow up were assessed. The sites of defects were middle and distal one-third of the legs (21 cases), foot and heel (4 cases), and knees (2 cases), and causes of defects were trauma (21 cases), and chronic wounds (2 cases). Used musculocutaneous free flaps were for latissimus dorsi (15 cases), rctus abdominis (8 cases), and gracilis (4 cases). 43 and 11 cases had end-to-end and end-to-site anastomosis, respectively. Survival rate was 88.9 percent and 3 flaps were failed due to thrombosis. Conclusion: Using free flaps with appropriate vascular pedicles is a reliable and effective method for reconstruction of lower leg large defects.
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spelling doaj.art-9a2ead0b406b4f61b849986c1fa3366d2023-09-02T14:52:08ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2017-09-01354398838892591Outcomes of Lower Extremity Defects Reconstruction with Free FlapsMehrdad Adibparsa0Mehdi Rasti-Ardakani1Razieh Karimi2Assistant Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: The aims of soft-tissue reconstruction of lower leg defects are covering and repairing wounds, maintaining limb function, preventing amputation, and improving quality of life. Methods: In this cross-sectional study, 27 patients underwent soft-tissue reconstruction of lower extremities with free flaps were enrolled. The cause and the site of defects, free flap types, anastomosis types, survival rate, and complications were assessed. Findings: 27 patients with mean age of 31 years with large lower extremity defects with at least 2 months follow up were assessed. The sites of defects were middle and distal one-third of the legs (21 cases), foot and heel (4 cases), and knees (2 cases), and causes of defects were trauma (21 cases), and chronic wounds (2 cases). Used musculocutaneous free flaps were for latissimus dorsi (15 cases), rctus abdominis (8 cases), and gracilis (4 cases). 43 and 11 cases had end-to-end and end-to-site anastomosis, respectively. Survival rate was 88.9 percent and 3 flaps were failed due to thrombosis. Conclusion: Using free flaps with appropriate vascular pedicles is a reliable and effective method for reconstruction of lower leg large defects.http://jims.mui.ac.ir/index.php/jims/article/view/8342Lower extremityFree flapsWound healing
spellingShingle Mehrdad Adibparsa
Mehdi Rasti-Ardakani
Razieh Karimi
Outcomes of Lower Extremity Defects Reconstruction with Free Flaps
مجله دانشکده پزشکی اصفهان
Lower extremity
Free flaps
Wound healing
title Outcomes of Lower Extremity Defects Reconstruction with Free Flaps
title_full Outcomes of Lower Extremity Defects Reconstruction with Free Flaps
title_fullStr Outcomes of Lower Extremity Defects Reconstruction with Free Flaps
title_full_unstemmed Outcomes of Lower Extremity Defects Reconstruction with Free Flaps
title_short Outcomes of Lower Extremity Defects Reconstruction with Free Flaps
title_sort outcomes of lower extremity defects reconstruction with free flaps
topic Lower extremity
Free flaps
Wound healing
url http://jims.mui.ac.ir/index.php/jims/article/view/8342
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