Reconstruction of the lower extremity with vascularized composite tissue: improved tissue survival and specific indications.

Journal Article (Journal Article)

A retrospective assessment of 50 vascularized composite tissue transfers was carried out with 48 patients. Factors responsible for improved tissue survival included (1) the evaluation and proper selection of recipient vasculature, (2) the increased dependence on the vacularized latissimus dorsi musculocutaneous flap, and (3) the frequent use, wherever possible, of an end-to-side arterial anastomisis. Specific indications for reconstruction of the lower extremity with vascularized composite tissue include (1) avulsive injuries to the distal tibia and foot, (2) the failure of conventional methods, (3) the treatment of extensive chronic osteomyelitis, (4) deficiency of both soft tissue cover and skeletal support, (5) the restoration of form and contour with minimal secondary deformity of the donor site, and (6) extensive loss of soft tissue only. Reconstruction of the lower extremity with vascularized tissue is a reliable method with acceptable patient and tissue morbidity statistics that should be considered when specific indications are present.

Full Text

Duke Authors

Cited Authors

  • Serafin, D; Sabatier, RE; Morris, RL; Georgiade, NG

Published Date

  • August 1, 1980

Published In

Volume / Issue

  • 66 / 2

Start / End Page

  • 230 - 241

PubMed ID

  • 6105686

International Standard Serial Number (ISSN)

  • 0032-1052

Digital Object Identifier (DOI)

  • 10.1097/00006534-198008000-00012


  • eng

Conference Location

  • United States