Lower extremity defects are a source of significant functional and psychosocial morbidity for pediatric patients and require complex reconstructions to restore form and function.The advent of microsurgical reconstruct...Lower extremity defects are a source of significant functional and psychosocial morbidity for pediatric patients and require complex reconstructions to restore form and function.The advent of microsurgical reconstruction along with advances in wound care techniques and technologies have empowered reconstructive surgeons to perform limb salvage surgery in patients that would traditionally require amputation;however,the indications for performing reconstructive surgery for complicated cases are not ironclad.While this is the case,applying the principles of lower extremity reconstruction in adults to the pediatric population is often sufficient to achieve a satisfactory outcome.This overview discusses the evaluation and management of soft tissue defects of the leg in pediatric patients.展开更多
Communication and coordination between orthopedic and plastic surgeons improve outcomes in severe extremity trauma.The“orthoplastics”approach to limb salvage incorporates priorities and skillsets from both fields.Pr...Communication and coordination between orthopedic and plastic surgeons improve outcomes in severe extremity trauma.The“orthoplastics”approach to limb salvage incorporates priorities and skillsets from both fields.Prevention of infection,coordinated skeletal and soft tissue reconstruction,and communication during recovery and rehabilitation are key priorities.The purpose of this review is to describe the orthopedic trauma surgeon’s perspectives on lower extremity reconstruction,including initial management,techniques and timing for provisional and definitive skeletal reconstruction,and considerations for rehabilitation and orthotic use to optimize functional outcomes.展开更多
Reconstruction of the lower extremity is a complex task that has evolved greatly in both technique and indication over the past century.Early advances in treating traumatic lower extremity injuries focused on primary ...Reconstruction of the lower extremity is a complex task that has evolved greatly in both technique and indication over the past century.Early advances in treating traumatic lower extremity injuries focused on primary amputation to avoid the high mortality of infection.The introduction of antibiotics improved surgical debridement and local reconstructive options,enhancing the viability of lower extremities with simple and proximal defects.With the advent of microvascular surgery,free tissue transfer techniques provided a means to reconstruct more distal and complex problems.As these surgical techniques have continued to evolve,so too have indications for reconstruction,patient management and post-operative care-now with a greater emphasis on patient quality of life and limb function.The purpose of this article is to outline the evolution of lower extremity reconstruction,and how the standard of practice has changed over time.展开更多
文摘Lower extremity defects are a source of significant functional and psychosocial morbidity for pediatric patients and require complex reconstructions to restore form and function.The advent of microsurgical reconstruction along with advances in wound care techniques and technologies have empowered reconstructive surgeons to perform limb salvage surgery in patients that would traditionally require amputation;however,the indications for performing reconstructive surgery for complicated cases are not ironclad.While this is the case,applying the principles of lower extremity reconstruction in adults to the pediatric population is often sufficient to achieve a satisfactory outcome.This overview discusses the evaluation and management of soft tissue defects of the leg in pediatric patients.
文摘Communication and coordination between orthopedic and plastic surgeons improve outcomes in severe extremity trauma.The“orthoplastics”approach to limb salvage incorporates priorities and skillsets from both fields.Prevention of infection,coordinated skeletal and soft tissue reconstruction,and communication during recovery and rehabilitation are key priorities.The purpose of this review is to describe the orthopedic trauma surgeon’s perspectives on lower extremity reconstruction,including initial management,techniques and timing for provisional and definitive skeletal reconstruction,and considerations for rehabilitation and orthotic use to optimize functional outcomes.
文摘Reconstruction of the lower extremity is a complex task that has evolved greatly in both technique and indication over the past century.Early advances in treating traumatic lower extremity injuries focused on primary amputation to avoid the high mortality of infection.The introduction of antibiotics improved surgical debridement and local reconstructive options,enhancing the viability of lower extremities with simple and proximal defects.With the advent of microvascular surgery,free tissue transfer techniques provided a means to reconstruct more distal and complex problems.As these surgical techniques have continued to evolve,so too have indications for reconstruction,patient management and post-operative care-now with a greater emphasis on patient quality of life and limb function.The purpose of this article is to outline the evolution of lower extremity reconstruction,and how the standard of practice has changed over time.
