The complex lower extremity wound is frequently encountered by orthopedic and plastic
surgeons. Innovations in wound care, soft tissue coverage and surgical fixation techniques …

Introduction: During the past decades, free flaps have been given a central role in the
reconstructive surgery. Especially in the extremities, where there is a scarcity of available …

Background Despite advanced wound care techniques, open fractures in the setting of lower
extremity trauma remain a challenging pathology, particularly when free tissue transfer is …

Background Early soft tissue coverage of open lower extremity fractures within 72 hours of
injury leads to improved outcomes. Little is known about outcomes when definitive fixation is …

Background Lower extremity free flap failure rates are higher than in other areas of the body.
While prior studies assessed the effect of intraoperative technical variables, these generally …

Background The profunda artery perforator (PAP) flap has been reported in several types of
reconstructions. This report aims to evaluate the usefulness and the clinical outcome of …

Background: Infection and non-union of fractures are potential complications of Gustilo type
IIIB open tibial fractures. It is important to choose the most effective type of flap to reduce the …

Background While prior studies have recommended immediate flap coverage within 72
hours of injury for soft tissue reconstruction for traumatic extremity injuries, recent evidence …

Background The timing of soft tissue reconstruction for soft-tissue defect in patients with
open fractures in the lower extremity is known to be critical for successful outcomes …

Background Many microsurgeons fear high complication rates and free flap loss when vein
grafting is necessary to restore blood flow at the recipient site. The aims of this study were to …