Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization

  • Pafitanis, Georgios (Group for Academic Plastic Surgery, The Blizard Institute, Barts' and The London School of Medicine and Dentistry, Queen Mary University of London) ;
  • Vris, Alexandros (Department of Orthopedics, The Royal London Hospital, Barts Health NHS Trust) ;
  • Reissis, Dimitris (Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust) ;
  • Sadri, Amir (Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust) ;
  • Alamouti, Reza (Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust) ;
  • Myers, Simon (Group for Academic Plastic Surgery, The Blizard Institute, Barts' and The London School of Medicine and Dentistry, Queen Mary University of London) ;
  • Sadigh, Parviz (Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust)
  • Received : 2018.02.19
  • Accepted : 2020.06.18
  • Published : 2020.11.15
Download PDF
⟨ Previous Next ⟩

Abstract

This article portrays the authors' clinical experience of a complex case of lower extremity reconstruction using a recycled pedicle from 10 years old free latissimus dorsi musculocutaneous flap to supply a new free anterolateral thigh flap for proximal tibia wound defect reconstruction. It provides clinical evidence that muscle neovascularization occurs and supports the dogma peripheral tissue neovascularization. This case stipulates that recycling of pedicle is feasible, when used with appropriate strategy and safety and also provides evidence for the long-term survival of greater saphenous vein grafts in lower extremity reconstruction.

Keywords

References

  1. Manrique OJ, Chen SH, Ciudad P, et al. Neovascularization failure of an interposed free intestinal colon flap 10 years after esophageal reconstruction. J Reconstr Microsurg Open 2017;2:e35-6. https://doi.org/10.1055/s-0037-1601850
  2. Burns A, Avery BS, Edge CJ. Survival of microvascular free flaps in head and neck surgery after early interruption of the vascular pedicle. Br J Oral Maxillofac Surg 2005;43:426-7. https://doi.org/10.1016/j.bjoms.2005.01.013
  3. Gundeslioglu AO, Selimoglu N, Toy H, et al. Neo-vascularisation of musculocutaneous and muscle flaps after division of the major vascular supply: an experimental study. J Plast Reconstr Aesthet Surg 2013;66:978-86. https://doi.org/10.1016/j.bjps.2013.03.043
  4. de Vries MR, Simons KH, Jukema JW, et al. Vein graft failure: from pathophysiology to clinical outcomes. Nat Rev Cardiol 2016;13:451-70. https://doi.org/10.1038/nrcardio.2016.76
  5. Vlastou C, Earle AS, Jordan R. Vein grafts in reconstructive microsurgery of the lower extremity. Microsurgery 1992; 13:234-5. https://doi.org/10.1002/micr.1920130505

Cited by

  1. Overcoming severe calcified lower extremity artery in lower limb salvage operation by using the Fogarty catheter and vein graft vol.41, pp.8, 2020, https://doi.org/10.1002/micr.30816