Advances in microsurgery for upper and lower extremity reconstruction and limb preservation

作     者：Alberto Bolletta Rubino Corrado Hung-Chi Chen Alberto Bolletta;Rubino Corrado;Hung-Chi Chen

作者机构：Department of Plastic SurgeryChina Medical University HospitalTaichung 404Taiwan Department of MedicalSurgical and Experimental SciencesUHT of SassariPlastic Surgery UnitUniversity of SassariSassari 07100Italy 

出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)

年 卷 期：2019年第6卷第10期

页      面：1-14页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Extremity reconstruction functional and aesthetic outcome limb salvage perforator flaps free flaps weight-bearing areas cross-leg flaps 

摘      要：In the recent decades,microsurgical reconstruction has evolved from simple survival of the affected extremity to the improvement of functional and aesthetic *** review retraces the main contributions to the advances of microsurgery for reconstruction of upper and lower extremities and limb *** the upper extremity,it is important to restore fine motility,together with allowing prompt *** the lower limb,care must be taken in the reconstruction of weight-bearing areas and the aim must be proper ambulation and shoe *** perforator flaps can be considered for medium size *** provide thin coverage and can be performed in short operating *** use,though,is often limited by tissue *** flaps allow to overcome this problem and,thanks to the recent development in the study of perforator vessels,the microsurgeon can choose the flap with the most appropriate *** flaps can accomplish simultaneous reconstruction of different tissue components and large bone defects often require vascularized bone *** dealing with limb preservation it is very important to consider residual *** muscle transfer and targeted muscle re-innervation can be performed in these cases.A useful reconstructive tool in severely damaged limbs with limited blood supply is the use of cross-leg free *** conclusion,extremity reconstruction and limb preservation are reaching new heights thanks,not only to the work of plastic surgeons,but also to the new developments in other fields of study such as oncology,traumatology,radiology and medical engineering.