Abstract
To examine the limb salvage experience of a young microsurgeon to determine risk factors
for complications and demonstrate lessons learned through cases in practice. We performed
a retrospective review of lower extremity (LE) reconstruction between 2007 and 2012
performed by the senior author. This analysis focused on medical comorbidities, mechanisms,
indications, and perioperative complications. A total of 61 free tissue transfers
were performed with a 95% LE salvage rate. The most common donor site was the anterolateral
thigh (ALT) (n = 39). Infection (n = 25) and trauma (n = 25) were the most common indications for intervention. A total of 18 complications
were reported, with 8 defined as major complications. Total flap loss occurred in
three patients. Through increased utilization of the ALT and adherence to lessons
learned over time, improvements in outcomes can occur, giving patients the best possible
chance at limb salvage.
Keywords
lower extremity reconstruction - young microsurgeon - flap loss
