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J Reconstr Microsurg 2021; 37(01): 089-096
DOI: 10.1055/s-0040-1709480
Original Article

The Essential Local Muscle Flaps for Lower Extremity Reconstruction

Andrew Atia 
1   Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, North Carolina
,
Rebecca Vernon
2   Department of Surgery, Duke University School of Medicine, Durham, North Carolina
,
Bryan J. Pyfer
1   Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, North Carolina
,
Ronnie L. Shammas
1   Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, North Carolina
,
Scott T. Hollenbeck
1   Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, North Carolina
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Abstract

Background Lower extremity reconstruction is often a challenging prospect with major implications on a patient’s quality of life. For complex defects of the lower extremity, special consideration must be given to ensure suitable and durable coverage. In the following article, we present the essential local muscle flaps for lower extremity reconstruction and discuss guiding principles for the reconstructive surgeon to consider.

Methods A thorough literature review was performed using PubMed to identify commonly used local muscle flaps for lower extremity reconstruction. Common considerations for each identified flap were noted.

Results The essential local muscle flaps for lower extremity reconstruction were identified and classified based on anatomical region of the defect to be reconstructed. General considerations and postoperative management were discussed to aid in operative decision making.

Conclusion While many factors must be taken into account when performing lower extremity reconstruction, there are numerous reliable local muscle flaps which can be used to successfully provide durable coverage for a variety of soft tissue defects of the lower extremity.

Keywords

lower extremity reconstruction - lower extremity flaps - local muscle flaps


Publikationsverlauf

Eingereicht: 07. Januar 2020

Angenommen: 23. Februar 2020

Artikel online veröffentlicht:
17. April 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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