title: Quantitative evaluation of the effects of gravity and dependency on microvascular tissue transfer to the lower limb, with clinical applications.
abstract: The authors have attempted quantitatively to evaluate the effects of gravity and dependency on free-tissue transfers to the lower limb, particularly in the immediate postoperative period, using the diagnostic modalities of Doppler ultrasonography and interstitial compartment pressure measurements. Results of these quantitative evaluations promoted a change in postoperative management among patients undergoing lower-limb tissue transfer. The experience in two patient cohorts is presented.
authors.affiliation: Section of Plastic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Isenberg
authors.forename: A
authors.initials: A
authors.lastname: Siegal
authors.forename: R
authors.initials: R
authors.lastname: Sherman
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D001783:Blood Flow Velocity; D015331:Cohort Studies; D005069:Evaluation Studies as Topic; D005110:Extracellular Space / Q000502:physiology; D005260:Female; D006112:Gravitation; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation; D011184:Postoperative Period; D011312:Pressure; D017568:Rectus Abdominis / Q000637:transplantation; D016038:Skin Transplantation / Q000502:physiology; D013524:Surgical Flaps / Q000379:methods / Q000473:pathology / Q000502:physiology*; D018615:Ultrasonography, Doppler, Color; D018616:Ultrasonography, Doppler, Duplex; D014656:Vascular Surgical Procedures; D016474:Weight-Bearing