Lower Extremity Reconstruction - Joon Pio Hong, Geoffrey Hallock

Lower Extremity Reconstruction

A Practical Guide
Buch
290 Seiten
2021
Thieme Medical Publishers Inc (Verlag)
978-1-62623-808-4 (ISBN)
209,95 inkl. MwSt
The state-of-the-art guide to lower extremity reconstruction from international experts

"I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and the future in one beautifully-crafted and exciting book. This is no doubt a must-read and must-have book." – from the Foreword by Fu-Chan Wei, MD

Adequate evaluation of lower limb wounds for salvage requires an itemized assessment of vascular, osseous, soft tissue, and functional deficits. »Lower Extremity Reconstruction: A Practical Guide« by renowned reconstructive surgeons and perforator flap masters J.P. Hong and Geoffrey G. Hallock presents an orthoplastic approach to this growing and challenging area of microsurgery. Throughout the well-illustrated text and videos, an impressive cadre of international surgeons share pearls and insights, including esoteric knowledge and step-by-step demonstration of techniques with pertinent case examples.

This unique guide presents a practical, visual, and stepwise approach to learning and mastering a full array of flap and microsurgery approaches for traumatic, dysvascular, metabolic, and oncologic lower limb defects. Organized into 26 topic-specific chapters, the book covers a full spectrum of lower extremity topics—from wound prep, timing, closure alternatives, and therapy, to soft-tissue tumors and a new concept in drop foot treatment. Numerous videos demonstrate how surgeons can leverage workhorse options to prevent chronic non-healing wounds or amputations and achieve the goal of limb salvage.

Key Highlights:
  • Lower extremity soft-tissue reconstruction techniques using local muscle and perforator workhorse flaps
  • Bone salvage and restoration techniques, including vascularized bone grafts
  • Diabetic foot management with in-depth discussion of the SCIP flap and perforator-to-perforator concept
  • Rationale for partial and subtotal foot amputation
  • 27 videos and more than 600 illustrations enhance understanding of microsurgical interventions

With insights from top microsurgeons on how to achieve the best outcomes for patients with lower limb defects, this is a must-have resource for plastic and orthopaedic surgeons, especially specialists who treat patients at trauma centers.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Section I. Initial Assessment and Approach

Chapter 1: Our Introduction to Lower Extremity Reconstruction

Chapter 2: Assessment of the Normal and the Impaired Lower Extremity

Chapter 3: Indications for Vascular Intervention in Lower Extremity Reconstruction

Chapter 4: Orthopaedic Evaluation of the Lower Extremity and the Concept of the Orthoplastic Approach

Chapter 5: The Surgical Approach to Pediatric Bone and Soft-Tissue Tumors of the Lower Extremity

Chapter 6: Spare-Part Surgery for the Lower Limb

Chapter 7: Using the Flap and Angiosome Concepts to Optimize Functional Lower Leg and Foot Amputations

Section II. Essential Concepts for Lower Limb Salvage

Chapter 8: Vascular Anatomy of the Lower Extremity: A Practical Guide to Vascular Territories, Perforators and Selection of Recipient Vessels

Chapter 9: General Wound Preparation and Timing

Chapter 10: The Pertinence of the Reconstructive Ladder and the Reconstructive Elevator

Section III. Options for Lower Extremity Wound Closure

Chapter 11: Non-Flap Wound Closure Alternatives: Skin Graft, Skin Substitute, Skin Stretch, and Negative Pressure Wound Therapy

Chapter 12: The Process for Flap Selection by Region of the Lower Extremity

Chapter 13: Basic Practical Lower Limb Muscle Local Flaps

-The Medial and Lateral Gastrocnemius Muscle Flaps

-The Gracilis Local Muscle Flap

-The Soleus Muscle Flap

-The Vastus Lateralis Muscle Flap

Chapter 14: Basic Local Perforator Flaps of the Lower Extremity

-The Island Perforator Flap

-Perforator Advancement Flaps Including the Keystone Flap

-Medialis Pedis and Other Plantar Flaps

-The Peninsular Perforator Flap

-The Perforator Propeller Flap

-The Distally Based Sural Flap

Chapter 15: Common Versatile Free Flaps for the Lower Extremity

-The Anterolateral Thigh Flap for Lower Extremity Reconstruction

-The Gracilis Muscle Free Flap

-The Versatile Latissimus Dorsi Muscle Free Flap

-The Medial Sural Artery Perforator Flap

-The Thoracodorsal Artery Perforator Free Flap

Section IV. Innovative and Controversial Concepts

Chapter 16: Supermicrosurgery Approach to the Lower Limb

Chapter 17: Diabetic Foot Reconstruction

Chapter 18: Rationale for Lower Limb Sensate Flaps

Chapter 19: A New Concept in Drop Foot Treatment: Ninkovic's Technique for Neuromusculotendinous Gastrocnemius Transfer

Chapter 20: Modern Concepts of Prosthetic Rehabilitation in Amputation of the Lower Extremity

Chapter 21: Procurement of Thin Flaps as Indicated in the Lower Extremity

Chapter 22: Bone Flaps and Bone Transport for Lower Limb Reconstruction

Chapter 23: Surgical Treatment for Lower Extremity Lymphedema

Chapter 24: Lower Limb Vascularized Composite Allotransplantation

Section V. Perioperative Care and Non-Surgical Rehabilitation

Chapter 25: Perioperative Care and Rehabilitation Specific to the Lower Limb

Erscheinungsdatum
Zusatzinfo 608 Abbildungen
Verlagsort New York
Sprache englisch
Maße 216 x 279 mm
Gewicht 1179 g
Einbandart gebunden
Themenwelt Medizinische Fachgebiete Chirurgie Ästhetische und Plastische Chirurgie
Medizinische Fachgebiete Chirurgie Unfallchirurgie / Orthopädie
Medizin / Pharmazie Medizinische Fachgebiete Orthopädie
Schlagworte Amputation • Diabetic • flaps • Lower Extremity • Lower Limb • Microsurgery • Oncologic • orthopedic surgery • Plastic Surgery • reconstruction • Salvage • soft-tissue tumor • Trauma • Vascular • wounds
ISBN-10 1-62623-808-1 / 1626238081
ISBN-13 978-1-62623-808-4 / 9781626238084
Zustand Neuware
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