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J Reconstr Microsurg 1997; 13(6): 431-437
DOI: 10.1055/s-2007-1006424
ORIGINAL ARTICLE

© 1997 by Thieme Medical Publishers, Inc.

Lower-Limb Salvage in a Patient with Recalcitrant Venous Ulcerations

Norman Weinzweig, Benjamin Schlechter, Henry Baraniewski, James Schuler
  • Divisions of Plastic Surgery and Vascular Surgery, and Departments of Surgery and of Orthopaedic Surgery, University of Illinois at Chicago and Cook County Hospital, Chicago, Illinois Dr. Schlechter is in private practice (plastic surgery) in West Reading, Pennsylvania
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Publication History

Accepted for publication 1997

Publication Date:
08 March 2008 (online)

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ABSTRACT

The authors report the salvage of a lower limb with recalcitrant venous stasis ulcers by “sequential” free flaps in a patient with co-existing chronic venous insufficiency and arterial occlusive disease. This presentation is interesting for inclusion of the following: (1) treatment of a recalcitrant venous ulcer by the combination of free-tissue transfer and valvular transplantation; (2) thrombosis of the free flap pedicle at an indeterminate time postoperatively without flap loss or leg ischemia; and (3) performance of a second free flap to the peroneal artery-only, to a one-vessel leg with an excellent clinical outcome at long-term follow-up.