Lower Extremity Reconstruction. A Practical Guide

1. Our Introduction to Lower Extremity Reconstruction
2. Assessment of the Normal and the Impaired Lower Extremity
3. Indications for Vascular Intervention in Lower Extremity Reconstruction
4. Orthopaedic Evaluation of the Lower Extremity and the Concept of the Orthoplastic
Approach
5. Surgical Approach to Pediatric Bone and Soft-Tissue Tumors of the Lower Extremity
6. Spare-Part Surgery
7. Using the Flap and Angiosome Concepts to Optimize Functional Lower Leg and Foot
Amputations
8. Vascular Anatomy of the Lower Extremity: A Practical Guide to Vascular Territories,
Perforators and Selection of Recipient Vessels
9. Importance of Vascularity and Selecting the Recipient Vessels in Lower Extremity
Reconstruction
10. General Wound Preparation and Timing
11. The Pertinence of the Reconstructive Ladder and the Reconstructive Elevator
12. Nonflap Wound Closure Alternatives: Skin Graft, Skin Substitute, Skin Stretch, and
Negative-Pressure Wound Therapy
13. The Process for Flap Selection by Region of the Lower Extremity
14. Basic Practical Lower Limb Muscle Local Flaps
15. Basic Local Perforator Flaps of the Lower Extremity
16. Common Versatile Free Flaps for the Lower Extremity
17. Supermicrosurgery Approach to the Lower Limb
18. Diabetic Foot Reconstruction
19. Rationale for Lower Limb Sensate Flaps
20. A New Concept in Drop Foot Treatment: Ninković's Technique—the
Neuromusculotendinous Gastrocnemius Transfer
21. Modern Concepts of Prosthetic Rehabilitation in Amputation of the Lower Extremity
22. Procurement of Thin Flaps as Indicated in the Lower Extremity
23. Bone Flaps and Bone Transport for Lower Limb Reconstruction
24. Surgical Treatment for Lower Extremity Lymphedema
25. Lower Limb Vascularized Composite Allotransplantation
26. Perioperative Care and Rehabilitation Specific to the Lower Limb

LOOK INSIDE

"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, MD

Adequate 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.

• Lower 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.