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Erschienen in: European Journal of Orthopaedic Surgery & Traumatology 2/2019

16.01.2019 | Expert's Opinion • LOWER LIMB - PAEDIATRIC

Microvascular reconstruction of pediatric lower extremity trauma using free tissue transfer

verfasst von: L. C. Boyd, G. A. Bond, A. Hamidian Jahromi, S. D. Kozusko, Zinon Kokkalis, P. Konofaos

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 2/2019

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Abstract

While free tissue transfer has long been established as a reliable microsurgical technique in the adult population, its application in pediatric reconstruction is a relatively recent phenomenon. Despite initial concerns regarding minute vessel diameters, increased propensity for vasospasm, and limited tissue availability, pediatric free tissue transfer is now a widely used technique that has demonstrated an acceptable level of donor and recipient site morbidity in children. Five flaps commonly used in the reconstruction of lower extremity trauma are discussed in this paper: the latissimus dorsi, rectus abdominis, anterolateral thigh, gracilis, and the subscapular and parascapular flaps. The indications, blood supply, advantages, and disadvantages of each are detailed. Incredible progress has been made in the application of microsurgical techniques to the pediatric population over the last several decades. With a healthy understanding of the anatomy and functionality of the donor site, the reconstructive surgeon can repair a variety of complex injuries with an acceptable morbidity and mortality rate.
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Metadaten
Titel
Microvascular reconstruction of pediatric lower extremity trauma using free tissue transfer
verfasst von
L. C. Boyd
G. A. Bond
A. Hamidian Jahromi
S. D. Kozusko
Zinon Kokkalis
P. Konofaos
Publikationsdatum
16.01.2019
Verlag
Springer Paris
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 2/2019
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-019-02367-w

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