title: Microsurgical advances in extremity salvage.
abstract: The main goal of reconstructive microsurgery must be an optimal functional and esthetic reconstruction meeting the individual trauma site requirements with minimal donor site morbidity. The authors discuss new microsurgical options for extremity salvage: indications for reconstruction versus amputation, timing of free tissue transfer, reconstruction of soft tissue and bone, and functional muscle transfer. They discuss indications and contraindications for these procedures, along with emphasizing the important points of each.
authors.affiliation: Department of Plastic, Reconstructive, Hand and Burn Surgery, Klinikum Bogenhausen, Städtisches Klinikum München GmbH, Munich, Germany. milomir.ninkovic@klinikum-muenchen.de
authors.forename: Milomir
authors.initials: M
authors.lastname: Ninkovic
authors.forename: Sebastian
authors.initials: S
authors.lastname: Voigt
authors.forename: Ulf
authors.initials: U
authors.lastname: Dornseifer
authors.forename: Sarah
authors.initials: S
authors.lastname: Lorenz
authors.forename: Marina
authors.initials: M
authors.lastname: Ninkovic
mesh_terms: D000671:Amputation, Surgical; D000673:Amputation, Traumatic / Q000601:surgery; D016025:Bone Transplantation; D003646:Debridement; D005121:Extremities / Q000293:injuries* / Q000601:surgery*; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D008866:Microsurgery; D018482:Muscle, Skeletal / Q000637:transplantation; D012092:Replantation; D018570:Risk Assessment; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps; D061665:Time-to-Treatment