Leg and lower extremity injuries and conditionscan be mildly irritating or severely debilitating. Whether mild or severe, they often inhibit a person’s ability to live his or her life fully. In some cases, a person may not be able to work, enjoy recreational activities, or get dressed or do other types of daily living activities.

When the injury or condition becomes severe, surgery may be the solution that can best restore function to the affected area and alleviate pain.

 

Goals

  • Restore limb function and salvage limbs.
  • Cover vital structures.
  • Maintain a satisfactory appearance following injury, infection, chronic non healing wounds, vascular or metabolic disease, rheumatoid arthritis, and many other diseases and disorders.

 

Treatments

  • Fasciocutaneous flaps, muscle flaps, tissue expansion, free tissue transfer, microsurgery, and skin grafts.
    • Grafting: transfer of bone, skin, tissue or nerves from a healthy area of the body to treatment site.
    • Flap surgery: movement of fat, blood vessels, muscle and skin from a healthy donor site on the patient’s body to the injured hand.
  • Use ofadvanced wound care biologic products, designed to provide coverage over exposed bone, joint, tendon, nerve and vessels, while encouraging healing of open wounds.
  • Multidisciplinary approach using orthopedic, podiatric, vascular and plastic surgery.

 

Lower extremity salvage

  • Restore and maintain function to avoid amputation after bone/soft tissue tumors, degenerative bone and joint diseases, chronic limb wounds and traumatic injuries.
  • Aggressive debridement and skeletal stabilization followed by early reconstruction with free or local flaps.

 

Reasons for Lower Extremity Reconstruction

  • Injury resulting in fractures and skin and tissue loss.
  • Infection.
  • Non-healing wounds after orthopedic and podiatric surgery.
  • Bone tumors.
  • Osteomyelitis.
  • Vascular or metabolic diseases.
  • Malformation.
  • Degenerative joint disease, rheumatoid arthritis.