Advanced leg salvage of the critically ischemic leg with major tissue loss by vascular and plastic surgeon teamwork: Long-term outcome

Annals of Surgery

Volumn 244, Issue 6, 2006, Pages 949-957

  Tukiainen, Erkki ^a   Kallio, M ^a   Lepantalo M ^a  

^a HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CALCANEUS; COMORBIDITY; DEATH; FEMALE; FOLLOW UP; FREE TISSUE GRAFT; GENDER; HEEL; HUMAN; LEG AMPUTATION; LEG ISCHEMIA; LEG REVASCULARIZATION; LIMB SALVAGE; MAJOR CLINICAL STUDY; MALE; MEDICAL SOCIETY; OSTEOMYELITIS; PERFUSION; PLASTIC SURGERY; PRIORITY JOURNAL; PROGNOSIS; RISK ASSESSMENT; SCORING SYSTEM; SURGICAL TECHNIQUE; SURVIVAL RATE; TREATMENT OUTCOME; VASCULAR SURGERY;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; FOLLOW-UP STUDIES; HUMANS; ISCHEMIA; LEG; LIMB SALVAGE; MALE; MIDDLE AGED; RECONSTRUCTIVE SURGICAL PROCEDURES; RETROSPECTIVE STUDIES; SURGICAL FLAPS; TREATMENT OUTCOME; VASCULAR SURGICAL PROCEDURES;

EID: 33751347319     PISSN: 00034932     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.sla.0000247985.45541.e8     Document Type: Article

References (24)

1. Luther M, Kantonen I, Lepäntalo M, et al. Arterial interventions and reduction in amputation for chronic critical leg ischaemia. Br J Surg. 2000;87:454-458.
2. Eskelinen E, Luther M, Eskelinen A, et al. Infra-popliteal bypass reduces amputation incidence in elderly patients: a population-based study. Eur J Vasc Endovasc Surg. 2003;26:65-68.
3. Attinger CE, Ducic I, Cooper P, et al. The role of intrinsic muscle flaps of the foot for bone coverage in foot and ankle defects in diabetic and non-diabetic patients. Plast Reconstr Surg. 1999;110:1047-1053.
4. DeFranzo AJ, Argenta LC, Marks MW, et al. the use of vacuum-assisted closure therapy for the treatment of lower-extremity wounds with exposed bone. Plast Rec Surg. 2001;108:1184-1191.
5. Attinger C, Venturi M, Kim K, et al. Maximizing length and optimizing biomechanics in foot amputations by avoiding cookbook recipes for amputation. Semin Vasc Surg. 2003;16:44-66.
6. Tukiainen E, Biancari F, Lepäntalo M. Deep infection of infrapopliteal autogenous vein grafts: immediate use of muscle flaps in leg salvage. J Vasc Surg. 1998;28:611-616.
7. Baumeister SP, Spierer R, Erdmann D, et al. A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group. Plast Reconstr Surg. 2003;112:129-140.
8. Briggs SE, Banis JC Jr, Kaebnick H, et al. Distal revascularization and microvascular free tissue transfer: an alternative to amputation in ischemic lesions of the lower extremity. J Vasc Surg. 1985;2:806-811.
9. Tukiainen E, Biancari F, Lepäntalo M. Lower limb revascularization and free flap transfer for major ischemic tissue loss. World J Surg. 2000;24:1531-1536.
10. Vermassen FE, van Landuyt K. Combined vascular reconstruction and free flap transfer in diabetic arterial disease. Diabetes Metab Res Rev. 2000;16(suppl):33-36.
11. Moran SL, Illig KA, Green RM, et al. Free-tissue transfer in patients with peripheral vascular disease: a 10-year experience. Plast Rec Surg. 2002;109:999-1006.
12. Fontaine R, Kim M, Kieny R. Die chirurgische behandlung der peripheren durchblutungsstörungen. Helv Chir Acta. 1954;21:499-533.
13. Lavery AL, Armstrong DG, Harkless LB. Classification of diabetic foot wounds. J Foot Ankle Surg. 1996;35:528-531.
14. Czerny M, Trubel W, Zimpfer D, et al. Limb-salvage by femoro-distal bypass and free muscle flap transfer. Eur J Vasc Endovasc Surg. 2004;27:635-639.
15. Luther M. Treatment of chronic critical leg ischaemia: a cost benefit analysis. Ann Chir Gynaecol. 1997;86(suppl 213:1-142).
16. Lepäntalo M, Mätzke S. Outcome of unreconstructed chronic critical leg ischemia. Eur J Vasc Endovasc Surg. 1996;153-157.
17. Pomposelli FB, Kansal N, Hamdan AD, et al. A decade of experience with dorsalis pedis artery bypass: analysis of outcome in more than 1000 cases. J Vasc Surg. 2003;37:307-315.
18. Biancari F, Kantonen I, Mätzke S, et al. Infra-inguinal endovascular and bypass surgery for critical leg ischemia in patients on long-term dialysis. Ann Vasc Surg. 2002;16:210-214.
19. Ramdev P, Rayan SS, Sheahan M, et al. A decade experience with infrainguinal revascularization in a dialysis-dependent patient population. J Vasc Surg. 2002;36:969-974.
20. Lorenzetti F, Tukiainen E, Albäck A, et al. Blood flow in a pedal bypass combined with a free muscle flap. Eur J Vasc Endovasc Surg. 2001;22:161-164.
21. Kanellopoulos G, Sabharwal A, MacGregor C. Major lower limb amputation for vascular disease in the Grampian area: the outcome of rehabilitation. J R Coll Surg (Edinburgh). 1996;41:114-115.
22. Valentine RJ, Myers SI, Inman MH, et al. Late outcome of amputees with premature atherosclerosis. Surgery. 1996;119:487-493.
23. Peng CW, Tan SG. Perioperative and rehabilitative outcomes after amputation for ischemic leg gangrene. Ann Acad Med. 2000;29:168-172.
24. Eskelinen E, Lepäntalo M, Hietala E-M, et al. Lower limb amputations in Southern Finland in 2000 and trends up to 2001. Eur J Vasc Endovasc Surg. 2004;27:193-200.