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Review
. 2021 Oct;124(10):782-788.
doi: 10.1007/s00113-021-01069-5. Epub 2021 Aug 11.

[Reconstruction of soft tissue defects of the lower extremities]

[Article in German]
C Radtke  1 , M Meyer-Marcotty  2
Affiliations
Review

[Reconstruction of soft tissue defects of the lower extremities]

[Article in German]
C Radtke et al. Unfallchirurg. 2021 Oct.

Abstract
in English, German

A reliable reconstruction of soft tissue defects of the lower extremities especially in the distal third of the leg is still a special challenge for reconstructive surgeons. The possibility of salvaging the leg has to be evaluated in the setting of an interdisciplinary team and the timing of the operation(s) with respect to the safety of the patient and a systematic approach with the selection of a suitable flap have to be defined. Traditionally local muscle flaps or free flaps have been established for coverage of defects of the lower extremities. Recently perforator-based flaps have gained popularity for reconstruction of lower extremity defects. Furthermore, new surgical techniques and developments in association with the demographic change have led to a paradigm shift.

Die zuverlässige Versorgung von Weichteildefekten der unteren Extremität, insbesondere im distalen Anteil, stellt eine besondere chirurgische Herausforderung dar. Im interdisziplinären Team sind die Möglichkeit eines Extremitätenerhalts zu evaluieren sowie der Zeitpunkt unter Aspekten der Patientensicherheit und das systematische Vorgehen mit der Definition der geeigneten Lappenplastik festzulegen. Zur Deckung von Defekten im Bereich der unteren Extremität haben sich traditionell lokale Muskellappenplastiken oder freie Lappenplastiken etabliert. Zunehmend finden perforatorbasierte Lappenplastiken bevorzugte Anwendung. Darüber hinaus haben neue chirurgische Techniken und Weiterentwicklungen im Zusammenhang mit dem demografischen Wandel zu einem Paradigmenwechsel geführt.

Keywords: Free tissue flaps; Geriatrics; Interdisciplinary health team; Limb salvage; Perforator flaps.

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References

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