title: The mangled foot and ankle: soft tissue salvage techniques.
abstract: The mangled foot and ankle can be defined as a severe injury to multiple organ systems of this appendage that can include bone, muscle, tendon, and neurovascular structures. The magnitude and often rate-limiting parameter most likely to affect the decision to attempt foot salvage is the degree of soft tissue destruction. If irreplaceable or if function cannot be restored, amputation should be considered. If reconstruction is attempted, all nonviable tissues regardless of intrinsic function must first be removed by meticulous débridement.
authors.affiliation: Division of Plastic Surgery, Sacred Heart Hospital and Lehigh Valley Hospital, 1230 South Cedar Crest Boulevard, Suite 306, Allentown, PA 18103, USA; St. Luke's Hospital, Bethlehem, PA, USA. Electronic address: gghallock@hotmail.com.
authors.forename: Geoffrey G
authors.initials: GG
authors.lastname: Hallock
mesh_terms: D000842:Ankle / Q000098:blood supply; D016512:Ankle Injuries / Q000175:diagnosis / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D003646:Debridement; D005528:Foot / Q000098:blood supply; D018409:Foot Injuries / Q000175:diagnosis / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D008866:Microsurgery; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply / Q000601:surgery
keywords: Free flap; Mangled foot and ankle; Perforator flap; Soft tissue reconstruction