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Lower Extremity Free Tissue Transfer in the Setting of Severe Medial Arterial Calcification: Limb Salvage Is Possible, But at What Cost?
[BACKGROUND] Medial arterial calcification (MAC) is emerging as a tool to predict adverse limb events, but its effects on microsurgery are unknown. This study evaluates the effects of MAC on microsurgical limb salvage outcomes. [METHODS] P…
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A Quadrant-based Algorithm for Oncoplastic Breast Reduction: The Use of Mirror Flaps for Filling Superior Pole Lumpectomy Defects.
[BACKGROUND] Reconstructing upper-quadrant defects in oncoplastic breast reduction (OBR) can be challenging due to upper-pole concavity after tumor resection. To address this, we adopted a dual-component technique using 2 separate flaps: (1…
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Clostridium difficile induced coagulopathy: Implications for microsurgery in the setting of limb salvage.
[BACKGROUND] Studies have demonstrated a correlation between Clostridium difficile infection (CDI) and hypercoagulability. This study evaluates CDI in patients undergoing lower extremity (LE) free tissue transfer (FTT) and quantifies its im…
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Early Functional Outcomes After Single-Stage Achilles Tendon Reconstruction Using Free Anterolateral Thigh Flap With Tubularized Fascia Lata.
[BACKGROUND] Achilles tendon injury with extensive soft tissue loss presents challenges to lower extremity (LE) reconstruction with functionally favorable results. The use of a free anterolateral thigh (ALT) flap incorporating a tubularized…
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Intraoperative Vasopressor Use Does Not Adversely Impact Free Flap Outcomes in Lower Extremity Limb Salvage Procedures in a Highly Comorbid Atraumatic Wound Population.
The use of vasopressors during microsurgical reconstruction is debated. Their effect on the comorbid lower extremity (LE) wound population is unstudied. This study characterizes the impact of intraoperative vasopressor use in LE free tissue…
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Preoperative Deep and Superficial Venous Thrombosis in Limb Salvage Candidates: A Contraindication to Microsurgical Free Flap Reconstruction? Lessons Learned from Our 13-year Institutional Experience.
Although arterial inflow considerations dominate microsurgical planning, venous outflow is equally vital for flap survival. Patients requiring free tissue transfer (FTT) for lower extremity (LE) reconstruction frequently present with occult…
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Resection Weight Formulas for Reduction Mammoplasty: A Systematic Review and Regression Analysis.
[PURPOSE] Estimating resection weight for patients undergoing reduction mammoplasty (RM) informs surgical planning and outcomes. Existing formulas have limitations that make insurance coverage and accurate surgical planning challenging. We …