Timing of management of severe injuries of the lower extremity by free flap transfer

  • Ulf Dornseifer Department of Plastic, Reconstructive, and Hand Surgery, Burn Centre, Academic Hospital Munich Bogenhausen, Technical University Munich
  • Milomir Ninković Department of Plastic, Reconstructive, and Hand Surgery, Burn Centre, Academic Hospital Munich Bogenhausen, Technical University Munich
Keywords: management, injuries, lower extremity, free flap transfer

Abstract

Covering defects by free-tissue transfers enable surgeons to reconstruct or salvage the lower extremity injured or amputated in high-energy traumas which result in extensive damage to soft tissue, bone, tendons, vessels and nerve. The timing of the reconstruction using flaptechniques is extremely important. It can be divided into three categories: "primary free flap closure" (12 to 24 hours), "delayed primary free flap closure" (2 to 7 days), and "secondary free flap closure" (after 7 days). Our treatment of choice in an isolated complex injury of a lower extremity with a soft tissue defect is "primary free flap closure" providing improved funcional and aesthetic results, and psychologically benefit through lowered morbidity of the patient.

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Timing of management of severe injuries of the lower extremity by free flap transfer
Published
2005-11-20
How to Cite
1.
Dornseifer U, Ninković M. Timing of management of severe injuries of the lower extremity by free flap transfer. Bosn J of Basic Med Sci [Internet]. 2005Nov.20 [cited 2020Sep.20];5(4):7-13. Available from: https://www.bjbms.org/ojs/index.php/bjbms/article/view/3223
Section
Reviews