Lower-Limb Salvage in a Patient with Recalcitrant Venous Ulcerations

Autor: Benjamin L. Schlechter, Norman Weinzweig, James J. Schuler, Henry Baraniewski
Rok vydání: 1997
Předmět:
Zdroj: Journal of Reconstructive Microsurgery. 13:431-437
ISSN: 1098-8947
0743-684X
DOI: 10.1055/s-2007-1006424
Popis: The authors report the salvage of a lower limb with recalcitrant venous stasis ulcers by "sequential" free flaps in a patient with co-existing chronic venous insufficiency and arterial occlusive disease. This presentation is interesting for inclusion of the following: (1) treatment of a recalcitrant venous ulcer by the combination of free-tissue transfer and valvular transplantation; (2) thrombosis of the free flap pedicle at an indeterminate time postoperatively without flap loss or leg ischemia; and (3) performance of a second free flap to the peroneal artery-only, to a one-vessel leg with an excellent clinical outcome at long-term follow-up.
Databáze: OpenAIRE