<p><strong><em>The state-of-the-art guide to lower extremity reconstruction from international experts</em></strong></p> <p><em>’I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and the future in one beautifully-crafted and exciting book. This is no doubt a must-read and must-have book.'</em> – from the Foreword by Fu-Chan Wei, MD</p> <p>Adequate evaluation of lower limb wounds for salvage requires an itemized assessment of vascular, osseous, soft tissue, and functional deficits. <cite>Lower Extremity Reconstruction: A Practical Guide</cite> by renowned reconstructive surgeons and perforator flap masters J.P. Hong and Geoffrey G. Hallock presents an orthoplastic approach to this growing and challenging area of microsurgery. Throughout the well-illustrated text and videos, an impressive cadre of international surgeons share pearls and insights, including esoteric knowledge and step-by-step demonstration of techniques with pertinent case examples.</p> <p>This unique guide presents a practical, visual, and stepwise approach to learning and mastering a full array of flap and microsurgery approaches for traumatic, dysvascular, metabolic, and oncologic lower limb defects. Organized into 26 topic-specific chapters, the book covers a full spectrum of lower extremity topics—from wound prep, timing, closure alternatives, and therapy, to soft-tissue tumors and a new concept in drop foot treatment. Numerous videos demonstrate how surgeons can leverage workhorse options to prevent chronic non-healing wounds or amputations and achieve the goal of limb salvage.</p> <p><strong>Key Highlights</strong></p> <ul> <li>Lower extremity soft-tissue reconstruction techniques using local muscle and perforator workhorse flaps</li> <li>Bone salvage and restoration techniques, including vascularized bone grafts</li> <li>Diabetic foot management with in-depth discussion of the SCIP flap and perforator-to-perforator concept</li> <li>Rationale for partial and subtotal foot amputation</li> <li>27 videos and more than 600 illustrations enhance understanding of microsurgical interventions</li> </ul> <p> </p> <p>With insights from top microsurgeons on how to achieve the best outcomes for patients with lower limb defects, this is a must-have resource for plastic and orthopaedic surgeons, especially specialists who treat patients at trauma centers.</p> <p>This book includes complimentary access to a digital copy on <a href=’https://medone.thieme.com/’>https://medone.thieme.com</a>.</p>
विषयसूची
<p>1. Our Introduction to Lower Extremity Reconstruction<br>2. Assessment of the Normal and the Impaired Lower Extremity<br>3. Indications for Vascular Intervention in Lower Extremity Reconstruction<br>4. Orthopaedic Evaluation of the Lower Extremity and the Concept of the Orthoplastic Approach<br>5. Surgical Approach to Pediatric Bone and Soft-Tissue Tumors of the Lower Extremity<br>6. Spare-Part Surgery<br>7. Using the Flap and Angiosome Concepts to Optimize Functional Lower Leg and Foot Amputations<br>8. Vascular Anatomy of the Lower Extremity: A Practical Guide to Vascular Territories, Perforators and Selection of Recipient Vessels<br>9. Importance of Vascularity and Selecting the Recipient Vessels in Lower Extremity Reconstruction<br>10. General Wound Preparation and Timing<br>11. The Pertinence of the Reconstructive Ladder and the Reconstructive Elevator<br>12. Nonflap Wound Closure Alternatives: Skin Graft, Skin Substitute, Skin Stretch, and Negative-Pressure Wound Therapy<br>13. The Process for Flap Selection by Region of the Lower Extremity<br>14. Basic Practical Lower Limb Muscle Local Flaps<br>15. Basic Local Perforator Flaps of the Lower Extremity<br>16. Common Versatile Free Flaps for the Lower Extremity<br>17. Supermicrosurgery Approach to the Lower Limb<br>18. Diabetic Foot Reconstruction<br>19. Rationale for Lower Limb Sensate Flaps<br>20. A New Concept in Drop Foot Treatment: Ninković’s Technique—the Neuromusculotendinous Gastrocnemius Transfer<br>21. Modern Concepts of Prosthetic Rehabilitation in Amputation of the Lower Extremity<br>22. Procurement of Thin Flaps as Indicated in the Lower Extremity<br>23. Bone Flaps and Bone Transport for Lower Limb Reconstruction<br>24. Surgical Treatment for Lower Extremity Lymphedema<br>25. Lower Limb Vascularized Composite Allotransplantation<br>26. Perioperative Care and Rehabilitation Specific to the Lower Limb</p>