Extracorporeal Pedicles for Free Flap Reconstruction in Diabetic Lower Extremity Wounds
Abstract: Diabetic foot ulcers are a severe complication of diabetes, and their management requires a multidisciplinary approach for optimal management. When treating these ulcers, limb salvage remains the ultimate goal. In this article, we present the “hanging” free flap for the reconstruction of chronic lower extremity diabetic ulcers. This two-staged approach involves standard free flap harvest and inset; however, following inset the “hanging” pedicle is covered within a skin graft instead of making extraneous incisions within the undisturbed soft tissues or tunnels that can compress the vessels. After incorporation, a second-stage surgery is performed in 4 to 6 weeks which entails pedicle division, flap inset revision, and end-to-end reconstruction of the recipient vessel. Besides decreasing the number of incisions on diabetic patients, our novel technique utilizing the “hanging” pedicle simplifies flap monitoring and inset and allows reconstruction of recipient vessels to reestablish distal blood flow.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Extracorporeal Pedicles for Free Flap Reconstruction in Diabetic Lower Extremity Wounds ; volume:49 ; number:06 ; year:2022 ; pages:782-784
Archives of Plastic Surgery ; 49, Heft 06 (2022), 782-784
- Contributor
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Gimenez, Alejandro R.
Lazo, Daniel
Chade, Salomao
Fioravanti, Alex
Colicchio, Olimpio
Alvarez, Daniel
Junior, Ernani
Raj, Sarth
Abu-Ghname, Amjed
Maricevich, Marco
- DOI
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10.1055/s-0042-1758635
- URN
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urn:nbn:de:101:1-2023012611305239697473
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:37 AM CEST
Data provider
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Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Gimenez, Alejandro R.
- Lazo, Daniel
- Chade, Salomao
- Fioravanti, Alex
- Colicchio, Olimpio
- Alvarez, Daniel
- Junior, Ernani
- Raj, Sarth
- Abu-Ghname, Amjed
- Maricevich, Marco
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