Cadaveric Atlas for Orthoplastic Lower Limb and Foot Reconstruction of Soft Tissue Defects

Kaitlyn L Ward, Anthony Romano and Edgardo R Rodriguez-Collazo

Franciscan Foot & Ankle Institute, Federal Way, WA, USA
Presence Saint Joseph Hospital, Chicago, IL, USA

^*Correspondance to: Edgardo Rodriguez-Collazo 

 PDF  Full Text DOI: 10.25107/2474-1647.2001

Abstract

Soft tissue deficits or non-healing wounds are a common and challenging problem faced by the lower extremity reconstructive surgeon. These cases often end in proximal amputation, especially in those with co-morbidities, compromised angiosomes, or following significant trauma. This atlas provides a guide for surgeons to understand and treat soft tissue lower extremity defects and complications. We discuss basic orthoplastic reconstructive principles and patient work-up; thus, alleviating the need to refer to a plastic or microsurgical specialist. Additionally, incision placement, anatomy of perforators, axial flow and arc of rotation for flaps are shown for medial, lateral and anterior compartments of the lower leg as well as the foot. The muscular and fascio cutaneous flaps in this atlas can be used to cover almost all areas of the lower extremity from the knee distally to the digits. The purpose of this atlas is to serve as a guide for surgeons to more effectively treat these soft tissue defects without the need for amputation.

Keywords

Orthoplastic; Reconstruction; Soft tissue defects; Flaps; Lower extremity

Cite the article

Ward KL, Romano A, Rodriguez-Collazo ER. Cadaveric Atlas for Orthoplastic Lower Limb and Foot Reconstruction of Soft Tissue Defects. Clin Surg. 2018; 3: 2001.