Lower limb salvage: microvascular reconstruction of post-traumatic soft tissue and skeletal defects.
This study reviews the principles of reconstructive microsurgery for lower limb salvage after severe open tibial fractures. Initial decision-making principles are reviewed with reference to useful scoring systems directed at appropriate patient selection for limb salvage. Soft tissue reconstruction is discussed with emphasis on timing and selection. Skeletal reconstruction focuses on available options and indications.
D000671:Amputation, Surgical; D001808:Blood Vessels / Q000293:injuries; D016638:Critical Illness; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery; D007866:Leg / Q000098:blood supply* / Q000601:surgery; D008866:Microsurgery; D017695:Soft Tissue Injuries / Q000601:surgery*; D013978:Tibial Fractures / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods