Surgical Care of the Traumatized Lower Extremity | Journal CME Article-Journal CME Article: Surgical Care of the Traumatized Lower Extremity ((Video 2 of 3)

Journal CME Article: Surgical Care of the Traumatized Lower Extremity ((Video 2 of 3)

Video Transcription

Video Summary

The video outlines an algorithm for recipient vessel selection in microsurgical lower-extremity reconstruction. The goals are to preserve limb perfusion, use one artery and two veins when possible, and choose vessels based on defect location, patient positioning, and the zone of injury. Preferred recipients are the posterior tibial, then anterior tibial, then peroneal vessels. The poster tibial artery is favored for its reliability and accessibility; the anterior tibial is deeper and smaller; the peroneal often requires fibular exposure. Several cases demonstrate flap coverage using these vessels with end-to-side or end-to-end anastomosis and show successful outcomes.

Keywords

microsurgical reconstruction

recipient vessel selection

lower-extremity reconstruction

posterior tibial artery

flap anastomosis