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Advances made in microsurgical techniques during the last three decades have dramatically improved the treatment of complex limb injuries, such as a closed fracture covered by healthy tissue and a complex open fracture of the tibia. Microvascular transfers from the foot have revolutionized the treatment of digital amputations, and vascularized bone transfers are used in various indications.The microvascular techniques are still evolving. Many imaginative new flaps are being proposed to meet precisely the functional requirements of the various defects. Alternative anastomotic techniques are being investigated and the no-flow phenomenon has been extensively studied. Allotransplantation may be feasible in the future.This unique book is a result of the exchange of ideas among clinicians of various specialties noted for their innovations and basic researchers involved with the problems of microvascular reconstruction of upper and lower extremities. While most of the chapters are invited contributions, some are based on presentations made during an international symposium held in Brussels, Belgium, in 1997.
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.
A highly visual atlas offering a comprehensive palette of microsurgical techniques for the upper extremity " Silver winner in 2014 IBPA Ben Franklin Awards! Written by leading hand surgeons from around the world, The Art of Microsurgical Hand Reconstruction is a visually detailed, content-rich atlas packed with all the step-by-step procedures surgeons need to successfully perform both tried-and-true and cutting-edge techniques in microsurgery of the upper extremity. This sophisticated atlas covers more than 50 specific procedures that beginning microsurgeons as well as more experienced surgeons will want to add to their arsenal to stay competitive in their practice. Key Features: Includes new concepts and innovative techniques, many of which are written by the originator of the procedure Stunningly detailed, side-by-side color photos and line drawings guide readers through each step in a procedure Free online access to 23 videos that demonstrate specific surgical procedures in the book Takes a tissue-specific approach to upper extremity reconstruction Procedures emphasize: Indications, Contraindications, Examination and Imaging, Relevant Anatomy, Pearls, Pitfalls, Surgical Technique, Outcomes, and Variations This detailed surgical atlas, with its sophisticated and comprehensive collection of procedures, is the modern clinical reference that hand surgeons will repeatedly refer to in the course of their clinical practice.
With coverage of nearly twice the number of flaps as the previous edition, Flaps and Reconstructive Surgery, 2nd Edition provides trainees and practicing surgeons alike with the detailed, expert knowledge required to ensure optimal outcomes. It includes chapters and expert commentaries from more than 100 authors and world-renowned leaders in the field, while brand-new cases and high-quality illustrations focused on flap harvest, markings, and reconstruction keep you abreast of today's latest developments. - Includes high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. - Detailed case studies illustrate how to optimize every aspect of care for the reconstructive surgery patient, including the postoperative period and long-term follow-up. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices. - Expanded video library of narrated surgical procedures covers most of the flaps used in reconstructive surgery. - Brand-new section on reconstruction takes an algorithmic approach to the reconstruction of defects around the body. - Features chapters covering the entire spectrum of reconstructive surgery, including head and neck reconstruction, chest wall reconstruction, abdominal wall, upper and lower extremity, and facial reanimation. - Content focuses on both local and free flaps. - New section on reconstructive transplant surgery highlights major topics such as face and hand transplantations, abdominal wall transplantation, uterus transplantation, and nerve allotransplantation.
Microsurgical techniques are widely used in the field of orthopaedics. This book addresses all aspects of orthopaedic microsurgery, from development of the principles to their applications. Replantation of fingers, hands and extremity parts are well summarized by highly experienced microsurgical surgeons. The methods for tissue transplantation and microsurgical reconstruction of tissue defects, which have been proved to be successful tools for saving severely injured extremities, were developed by experienced orthopaedic surgeons in cooperation with plastic surgeons. Injuries to peripheral nerves and the brachial plexus are also discussed extensively in this monograph. All illustrations and tables were meticulously selected and are easy to understand. The book was written for all microsurgeons who work in the fields of orthopaedics, plastic and hand surgery. Guoxian Pei is a professor at the Department of Orthopaedics, Xijing Hospital, the Fourth Military Medical University, Xi An, China.​
This practical and generously illustrated text presents the current concepts regarding the management of the mangled extremity, including microsurgery, vascular surgery, free tissue, nerve, hand, and replantation surgery. Since the advent of microsurgical reconstruction, significant progress has been made in the areas of replantation, free tissue transfer, as well as the refinement of skeletal fixation techniques. The scope will encompass the initial triage of a patient with a mangled upper or lower extremity, the initial and subsequent reconstructive efforts, to include skeletal fixation, vascular and soft tissue reconstruction, muscle and tendon transfers, psychological impact, therapy requirements, amputation considerations, and current data on salvage versus amputation in these scenarios. Case examples will be included to add further depth and context to the techniques and recommendations provided. Presenting these surgical challenges in detail, The Mangled Extremity will be an ideal resource for orthopedic and trauma surgeons, residents and fellows, as well as emergency surgeons facing these intense, traumatic injuries.
On April 23, 1906, Alexis Carrel presented his manuscript entitled "The Surgery of Blood Vessels" to the Johns Hopkins Medical Society. His work on the tech nique of small vessel anastomosis and the transplantation of visceral organs earned him the Nobel Prize in 1912. The use of magnification in operative surgery began in 1921 with the work of Nylen, who first employed the microscope for reconstructive procedures in the middle ear. Jacobson and Suarez published their initial observa tions on the use of microsurgery for the anastomosis of small vessels in 1960, and two years later, Malt reported the historic replantation of an upper extremity. To surgeons involved in reconstruction of the extremities, the evolution of micro surgery has provided the most significant advances of the past three decades. The dramatic clinical successes of replantation surgery and free tissue transfer have substantially improved functional and cosmetic results in addition to decreas ing morbidity in patients who present with complex reconstructive problems. Mi crosurgical Reconstruction of the Extremities crosses the traditional surgical discip lines and will be invaluable to orthopaedic surgeons, plastic surgeons, hand sur geons, and general surgeons, as well as to residents and fellows.
Unlike any other podiatric text available, this new textbook focuses on the treatment of skin and soft tissue problems of the foot and ankle area using techniques borrowed from facial plastic surgery, hand reconstructive surgery and general soft tissue plastic surgery fields and modified to be used on the foot and ankle areas. This textbook provides a detailed outline and description of evaluating, examining and documenting lower extremity skin and soft tissue conditions. It addresses these problems with a variety of techniques including suturing, incisional and excisional techniques, along with the appropriate reconstructive and plastic surgical procedures for each condition. - Includes all current techniques of revisional skin surgery and basic plastic surgery - Features an abundance of illustrations and photographs. - Reviews topics such as Preoperative Patient Evaluation, Cutaneous Anatomy, and Surgical Principles of Lower Extremity Surgery to prepare readers for studying the surgical techniques outlined in the text. - Covers excisional techniques and biopsy techniques as they pertain to the foot and ankle. - Outlines and defines the use of plastic surgery techniques - V-Y and Y-V; Z-plasty and W-plasty - for conditions of the foot and ankle and lower leg. These techniques can be used in the foot and ankle region for scar contracture which is a frequent complication of lower extremity surgery. - Includes multiple examples of appropriate techniques for correction of toenail and digital deformities. - Presents a large number of lower extremity soft tissue masses with the appropriate techniques for surgical management. - Outlines the specific indications and techniques for performing the advancement and rotation flaps for the lower extremity; these can be used to provide coverage for soft tissue defects.
Standards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focussing on lower limb injuries. It builds on and expands the NICE Guidelines to provide a practical approach with supporting evidence. The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with the bone and soft tissue injures, complications such as infection, and patient rehabilitation and psychological care. The book is primarily aimed at trainee plastic, orthopaedic and trauma surgeons (particularly for expanding knowledge and examination revision) but would also appeal to established surgeons to improve patient care. Standards for the Management of Open Fractures is an open access title. It is available to read and download as a free PDF version on Oxford Medicine Online. It has been made available under a Creative Commons Attribution-Non Commercial No Derivatives 4.0 International licence.
The second edition of Operative Plastic Surgery is a fully-updated, comprehensive text that discusses the most common plastic surgery procedures in great detail. It covers the classic techniques in plastic surgery, as well as the most recent technical advances, while maintaining a systematic approach to patient care within each chapter. Traversing the entirety of the human body, each chapter addresses assessment of defects, preoperative factors, pathology, trauma, operative indications and procedure, and more. Also covered is the operative room setup, with special consideration given to the operative plan, patient positioning and markings, and technique for each type of surgery. Led by Gregory R.D. Evans, this volume assembles thought leaders in plastic surgery to present operative surgery in a clear, didactic, and comprehensive manner, and lays the groundwork for ideas that we have just scratched the surface of, such as translational research, fat grafting, stem cells, and tissue engineering.