Coverage of cutaneous substance loss in the leg: Techniques and indications.

Flap Free flap Lambeau Lambeau libre Leg reconstruction Perte de substance de la jambe Reconstruction Soft tissue coverage

Journal

Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 05 07 2020
accepted: 09 07 2020
pubmed: 7 9 2020
medline: 1 10 2021
entrez: 6 9 2020
Statut: ppublish

Résumé

Cutaneous substance loss in the leg is frequent; more often than not, it is trauma-related. It calls for complex management and necessitates the application of all current reconstruction techniques, particularly microsurgery. As regards treatment, the available therapeutic arsenal is highly diversified, ranging from a simple free flap skin graft to local and locoregional flaps. During reconstruction, the surgeon is subjected to several constraints insofar as the objectives of the operation are esthetic as well as functional. Ideally, the fineness of the skin covering the anterior side of the leg will have been scrupulously respected. Reconstruction is aimed at producing a stable and reliable cutaneous envelope while limiting the morbidity of the donor site. The development of free perforator flaps corresponds to these two criteria by producing a fine flap adapted to the cutaneous thickness of the leg and limiting any functional and esthetic sequelae at the donor site.

Identifiants

pubmed: 32891462
pii: S0294-1260(20)30122-9
doi: 10.1016/j.anplas.2020.07.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

524-548

Informations de copyright

Copyright © 2020. Published by Elsevier Masson SAS.

Auteurs

A Henry (A)

Service de chirurgie plastique, reconstructrice et esthétique (plastic, reconstructive and esthetic surgery unit), hôpital de la Cavale-Blanche, université de Bretagne Occidentale, CHRU de Brest, 29200 Brest, France. Electronic address: annesophie.henry4@gmail.com.

P Ta (P)

Service de chirurgie plastique, reconstructrice et esthétique (plastic, reconstructive and esthetic surgery unit), hôpital de la Cavale-Blanche, université de Bretagne Occidentale, CHRU de Brest, 29200 Brest, France.

A Trimaille (A)

Service de chirurgie plastique, reconstructrice et esthétique (plastic, reconstructive and esthetic surgery unit), hôpital de la Cavale-Blanche, université de Bretagne Occidentale, CHRU de Brest, 29200 Brest, France.

C Monnerie (C)

Service de chirurgie plastique, reconstructrice et esthétique (plastic, reconstructive and esthetic surgery unit), hôpital de la Cavale-Blanche, université de Bretagne Occidentale, CHRU de Brest, 29200 Brest, France.

N Kerfant (N)

Service de chirurgie plastique, reconstructrice et esthétique (plastic, reconstructive and esthetic surgery unit), hôpital de la Cavale-Blanche, université de Bretagne Occidentale, CHRU de Brest, 29200 Brest, France.

W Hu (W)

Service de chirurgie plastique, reconstructrice et esthétique (plastic, reconstructive and esthetic surgery unit), hôpital de la Cavale-Blanche, université de Bretagne Occidentale, CHRU de Brest, 29200 Brest, France.

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Classifications MeSH