Lower Extremity (Leg) Reconstruction

Defects in the foot, ankle, lower leg, and thigh can result from a variety of inciting events.  Common sources of these defects include diabetes mellitus, peripheral vascular disease, trauma, complications of previous surgeries, and venous stasis disease (a lack of blood flow up the leg through the veins).  Many of these wounds, especially those resulting from a chronic medical condition, can be best treated in wound care centers that utilize a multidisciplinary approach, to not only treat the wound, but also the underlying cause to prevent recurrence in the future.  In patients who have a lower extremity wound that is not able to be fully treated in one of these specialized centers or whose wound is a result of extensive trauma, more advanced forms of reconstruction may be necessary. 

Our surgeons offer advanced forms of lower extremity reconstruction to help augment the healing of patients with a variety of defects.  Ideal candidates for these advanced reconstructive techniques are patients who have suffered severe trauma or had complications from previous surgeries and now have exposure of their bone, vessels, nerves, or deep tissues.  Coverage of these vital structures is critical to healing and can be successfully performed through a variety of techniques ranging from simple closure, to grafting, to microvascular tissue transfer.  The optimal form of reconstruction will depend on a variety of factors including: size of the defect, location of the wound, and overall state of the patient.  By taking all of these factors into account, our surgeons are able to offer the most up to date and optimal forms of reconstruction available based on the patient’s individual needs and goals.

In those patients with wounds related to chronic medical conditions, successful treatment depends on management of their underlying medical conditions.  If the medical cause of the open wound is not properly addressed, then reconstructive efforts are usually doomed to failure.  Ideal candidates for reconstruction have therefore had the medical management of their underlying conditions optimized prior to initiating reconstruction.

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