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Lower Extremity Reconstruction Following Trauma and Tumors

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Plastic and Reconstructive Surgery

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Summary

Assessment and reconstructive approaches for post-traumatic and tumor-ablative lower limb defects are presented and discussed in this chapter. Addressed herein are the assessment and stabilization of the emergency trauma patient, the decision process surrounding attempted limb salvage or primary amputation, general debridement principles, soft tissue and fracture management options, timing of reconstruction, nonmicrosurgical and microsurgical reconstructive options, muscular and nonmuscular flap coverage options, useful composite flap designs, and recipient vessel selection and assessment techniques, including the debates and/or consensus surrounding these various issues. Specific attention is also given to the management of chronic problems such as post-traumatic osteomyelitis and stiff knee. Furthermore, advancements in the multidis-ciplinary treatment of patients with lower limb tumors and the reconstruction of postablative defects are outlined.

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Abbreviations

MESS:

Mangled extremity severity score

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Authors and Affiliations

  1. Department of Plastic Surgery, Chang Gung University and Medical College, Taipei, Taiwan

    Chih-Wei Wu & Fu-Chan Wei

  2. Department of Plastic and Reconstructive Surgery, Chang Gung University and Medical College, Taipei, Taiwan

    Christopher G. Wallace

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  1. Chih-Wei Wu
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  2. Christopher G. Wallace
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  3. Fu-Chan Wei
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Editors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Maria Z. Siemionow (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training) (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training)

  2. Department of Plastic and Aesthetic, Hand, and Reconstructive Surgery, Caritas-Krankenhaus St. Josef, affiliated with Regensburg University, Regensburg, Germany

    Marita Eisenmann-Klein (Director) (Director)

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Wu, CW., Wallace, C.G., Wei, FC. (2010). Lower Extremity Reconstruction Following Trauma and Tumors. In: Siemionow, M.Z., Eisenmann-Klein, M. (eds) Plastic and Reconstructive Surgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-513-0_45

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  • DOI: https://doi.org/10.1007/978-1-84882-513-0_45

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