N. Weinzweig et al., LOWER-LIMB SALVAGE IN A PATIENT WITH RECALCITRANT VENOUS ULCERATIONS, Journal of reconstructive microsurgery, 13(6), 1997, pp. 431-437
The authors report the salvage of a lower limb with recalcitrant venou
s stasis ulcers by ''sequential'' free naps in a patient with co-exist
ing chronic venous insufficiency and arterial occlusive disease. This
presentation is interesting for inclusion of the following. (1) treatm
ent of a recalcitrant venous ulcer by the combination of free-tissue t
ransfer and valvular transplantation; (2) thrombosis of the free flap
pedicle at an indeterminate time postoperatively without flap loss or
leg ischemia; and (3) performance of a second free flap to the peronea
l artery-only, to a one-vessel leg with an excellent clinical outcome
at long-term follow-up.