Surface anatomy and skin considerations ( Fig. 10.1 ) The surface anatomy of the trunk is of vital importance for operative planning. In the anterior thorax, the sternocleidomastoid (SCM) is the most superior of the critical landmarks. The SCM is…
Introduction Advances in microsurgery have broadened the scope of reconstructive solutions available for the closure of chronic lower extremity wounds. Pedicled muscle flaps and free tissue transfer offer high rates of limb salvage for patients who might otherwise be subject…
Access video content for this chapter online at Elsevier eBooks+ Principles of wound healing General Contemporary understanding and management of lower extremity wounds has experienced a renaissance in the last several years with a combination of advances in technology and…
Introduction The diabetic foot is a detrimental condition experienced by diabetic patients secondary to a complex combination of pathophysiological mechanisms. Once established, the diabetic foot is difficult to treat, with the most definitive treatment being major amputation of the affected…
SYNOPSIS Functional limb salvage mandates a multidisciplinary team approach that comprises vascular surgery, plastic surgery, foot and ankle surgery, infectious disease, general medicine, endocrinologist, rheumatology, physical therapy, pedorthotist, and prosthetist. A successful functional limb salvage is one that restores function…
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…