Lower-limb salvage in a patient with recalcitrant venous ulcerations.
The authors report the salvage of a lower limb with recalcitrant venous stasis ulcers by "sequential" free flaps in a patient with co-existing chronic venous insufficiency and arterial occlusive disease. This presentation is interesting for inclusion of the following: (1) treatment of a recalcitrant venous ulcer by the combination of free-tissue transfer and valvular transplantation; (2) thrombosis of the free flap pedicle at an indeterminate time postoperatively without flap loss or leg ischemia; and (3) performance of a second free flap to the peroneal artery-only, to a one-vessel leg with an excellent clinical outcome at long-term follow-up.
Weinzweig
N
N
Division of Plastic Surgery, University of Illinois at Chicago 60612-7316, USA.
Schlechter
B
B
Baraniewski
H
H
Schuler
J
J
D000009:Abdominal Muscles / Q000637:transplantation; D001157:Arterial Occlusive Diseases / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D013524:Surgical Flaps; D014647:Varicose Ulcer / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014680:Veins / Q000637:transplantation; D014689:Venous Insufficiency / Q000150:complications; D014945:Wound Healing / Q000502:physiology