Lower Extremity Reconstruction Following Tumor, Burns and Infections

Abstract

Advances in plastic surgery have allowed for limb salvage in most cases of severe infection or tumor. This often involves moving adjacent or distant vascularized soft tissue into the area. Traditionally, surgeons have used the "Reconstructive Ladder" as a paradigm to consider various options to treat complex wounds. Common flaps in the lower extremity will be reviewed as well as case examples to illustrate the principles of reconstruction. New technologies such as dermal scaffolds, Negative Pressure Wound Therapy and Advanced biologics have all changed how we manage these conditions. Advances in the microanatomy of skin has allowed surgeons to design a wide array of new flaps simplifying the extent of surgical innovation. This review contains 6 figures, 2 tables, and 27 references. Keywords:lower extremity, wound, infection, tumor, osteomyelitis, sarcoma, lower extremity trauma, amputation, limb salvage