Free Tissue Transfer for Patients with Chronic Lower Extremity Wounds.

Clinics in plastic surgery 2021 Vol.48(2) p. 321-329

Bekeny JC, Zolper EG, Steinberg JS, Attinger CE, Fan KL, Evans KK

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Abstract

Chronic lower extremity wounds are defined as wounds that fail to heal within 3 months of defect onset. Free tissue transfer offers an opportunity for limb salvage and length preservation. Preoperative optimization includes a medical and nutritional consult, complete work-up by vascular surgery, and an analysis of bony stability and gait biomechanics by podiatric surgery. In the authors' practice, the thigh has proved the workhorse donor site and offers fasciocutaneous and muscle-based flaps depending on defect characteristics. Postoperative care requires early monitoring for flap compromise and continued long-term follow-up for wound recurrence.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 flap 피판재건술 dict 1
해부 tissue scispacy 1
해부 limb scispacy 1
해부 thigh scispacy 1
합병증 Wounds scispacy 1
합병증 flaps scispacy 1
합병증 wound scispacy 1
기타 Patients scispacy 1
기타 vascular scispacy 1

MeSH Terms

Chronic Disease; Female; Humans; Leg Injuries; Limb Salvage; Lower Extremity; Male; Middle Aged; Patient Care Planning; Preoperative Care; Plastic Surgery Procedures; Surgical Flaps; Thrombophilia; Wound Healing

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