"I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and future in one beautifully-crafted and exciting book. This is no doubt a must-read and must-have book." - from the Foreword by Fu-Chan Wei, MDAdequate evaluation of lower limb wounds for salvage requires an itemized assessment of vascular, osseous, soft tissue, and functional deficits. Lower Extremity Reconstruction: A Practical Guide 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.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 five sections, 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.Key HighlightsLower extremity soft tissue reconstruction techniques using local muscle and perforator workhorse flaps. Bone salvage and restoration techniques including vascularized bone grafts. Diabetic foot management with in-depth discussion of the SCIP flap and perforator to perforator concept. Rationale for partial and subtotal foot amputation. 26 videos and more than 500 illustrations enhance understanding of microsurgical interventions.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.This book includes complimentary access to a digital copy on https://medone.thieme.com.

1. Our Introduction to Lower Extremity Reconstruction2. Assessment of the Normal and the Impaired Lower Extremity3. Indications for Vascular Intervention in Lower Extremity Reconstruction4. Orthopaedic Evaluation of the Lower Extremity and the Concept of the Orthoplastic Approach5. Surgical Approach to Pediatric Bone and Soft-Tissue Tumors of the Lower Extremity6. Spare-Part Surgery7. Using the Flap and Angiosome Concepts to Optimize Functional Lower Leg and Foot Amputations8. Vascular Anatomy of the Lower Extremity: A Practical Guide to Vascular Territories, Perforators and Selection of Recipient Vessels9. Importance of Vascularity and Selecting the Recipient Vessels in Lower Extremity Reconstruction10. General Wound Preparation and Timing11. The Pertinence of the Reconstructive Ladder and the Reconstructive Elevator12. Nonflap Wound Closure Alternatives: Skin Graft, Skin Substitute, Skin Stretch, and Negative-Pressure Wound Therapy13. The Process for Flap Selection by Region of the Lower Extremity14. Basic Practical Lower Limb Muscle Local Flaps15. Basic Local Perforator Flaps of the Lower Extremity16. Common Versatile Free Flaps for the Lower Extremity17. Supermicrosurgery Approach to the Lower Limb18. Diabetic Foot Reconstruction19. Rationale for Lower Limb Sensate Flaps20. A New Concept in Drop Foot Treatment: Ninković's Technique—the Neuromusculotendinous Gastrocnemius Transfer21. Modern Concepts of Prosthetic Rehabilitation in Amputation of the Lower Extremity22. Procurement of Thin Flaps as Indicated in the Lower Extremity23. Bone Flaps and Bone Transport for Lower Limb Reconstruction24. Surgical Treatment for Lower Extremity Lymphedema25. Lower Limb Vascularized Composite Allotransplantation26. Perioperative Care and Rehabilitation Specific to the Lower Limb