Access video content for this chapter online at Elsevier eBooks+ Introduction Skeletal reconstruction in the lower limb can be challenging for both orthopedic and plastic surgeons. Bony defects may be encountered in isolation, for instance after oncologic resection, while more…
Access video content for this chapter online at Elsevier eBooks+ Introduction Lower extremity pain can have a variety of sources including bone, joint, tendon, ligament, muscle, and nerve. Neuropathic pain can be particularly severe and adversely impacts a patient’s quality…
Access video content for this chapter online at Elsevier eBooks+ Introduction Targeted muscle reinnervation (TMR) is a nerve transfer of a proximal nerve, either mixed or sensory, into a distal motor nerve. Initially described by Dumanian and Kuiken, TMR was…
Introduction Symptomatic neuromas of the lower extremity can be debilitating to patients because of chronic pain and decreased physical independence from painful ambulation. They are also one of the few peripheral nerve–mediated pain processes, along with compressive neuropathies, that a…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction Lower extremity reconstruction following severe trauma, cancer ablation, and chronic infections remains challenging. The involvement of multiple structures from bone, muscle, vessel, nerve to skin makes…
SYNOPSIS Any lesion in the lower extremity with a clinical history of pain, continuous growth, size over 5 cm, or deep subfascial localization is suspicious of a sarcomatous malignancy and should be surgically biopsied according to established surgical rules. Still…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Chen-modified Charles procedure In advanced lymphedema, chronic inflammation and repeated episodes of infection lead to gradual fibrosis of subcutaneous tissue and skin, causing destruction of lymphatic channels,…
Access video content for this chapter online at Elsevier eBooks+ Introduction Our first liposuction was undertaken in 1987, but it was not until 1993 that a more detailed treatment protocol was established for arm lymphedema. Liposuction for leg lymphedema was…
Access video and video lecture content for this chapter online at Elsevier eBooks+ History of VLNT Vascularized lymph node transplant (VLNT) is one type of physiologic surgical treatment for lymphedema that has been shown to be effective in reducing affected…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction Historically, the treatment of lymphedema has been focused on ameliorating symptoms and halting the progression of disease. However, with recent advancements in reconstructive microsurgery and supermicrosurgery,…