Lower-Limb Salvage in a Patient with Recalcitrant Venous Ulcerations

Norman Weinzweig; Benjamin Schlechter; Henry Baraniewski; James Schuler

doi:10.1055/s-2007-1006424

Journal of Reconstructive Microsurgery, Table of Contents

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

ORIGINAL ARTICLE

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

Abstract

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.

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