Article
Medicine, General & Internal
Vladimir Megevand, Domizio Suva, Morad Mohamad, Didier Hannouche, Daniel F. Kalbermatten, Carlo M. Oranges
Summary: The meta-analysis compared muscle (M) and fasciocutaneous (FC) free flaps for lower limb reconstruction and found that FC flaps had better clinical outcomes, including lower donor site morbidity and total flap loss rates.Authors preferred FC flaps due to higher aesthetic satisfaction and lower rates of postoperative infection.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Z-Hye Lee, David A. Daar, Jason W. Yu, Christodoulos Kaoutzanis, Pierre B. Saadeh, Vishal Thanik, Jamie P. Levine
Summary: This article provides a comprehensive update on the various management aspects of traumatic lower extremity microvascular reconstruction based on the latest evidence, with an examination of recent publications.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Surgery
Hyung Bae Kim, Jung Mok Cho, Usama Abdelfattah, Roberto Vilchis Lopez, Changsik John Pak, HyunSuk Peter Suh, Joon Pio Hong
Summary: This prospective study aims to evaluate the quality, tendency, and related factors for recovery of sensation in noninnervated perforator flaps. The study found that peripheral sensory recovery was achieved in 72% of cases at +24 months, while central recovery was noted in only 26-28% of cases. Factors such as flap thickness, size, type, and recipient sites did not have a significant impact on recovery, but smoking was found to hinder sensory recovery.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Multidisciplinary Sciences
Sebastian P. Schraven, Benjamin Kossack, Daniel Strueder, Maximillian Jung, Lotte Skopnik, Justus Gross, Anna Hilsmann, Peter Eisert, Robert Mlynski, Eric L. Wisotzky
Summary: The aim of this study is to establish remote or imaging photoplethysmography (rPPG/iPPG) for monitoring flap perfusion in reconstructive surgery. The results showed that rPPG provides objective and reproducible perfusion results during surgery, making it a promising low-cost technology for standard flap perfusion monitoring.
SCIENTIFIC REPORTS
(2023)
Review
Surgery
Nargiz Seyidova, Keith Anderson, Ahid Abood
Summary: This study compared patients' satisfaction with aesthetic outcomes following muscle or fasciocutaneous free flap reconstruction to the lower limb, with patients who underwent fasciocutaneous flap reconstruction being more satisfied with flap texture. However, there were no significant differences in other aspects of satisfaction between the two groups, highlighting the importance of aesthetic restoration in lower limb reconstruction.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2021)
Article
Surgery
Nicole A. Zelenski, Anthony Archual, Jennifer Tangtiphaiboontana, Doga Kuruoglu, Maria Yan, Samyd Bustos-Hemer, Steven L. Moran
Summary: The purpose of this study was to compare the rates and time to union of open tibia fractures that underwent soft-tissue coverage. The results showed that flap type significantly affected time to union, with muscle flaps having shorter time to union than fasciocutaneous flaps. Moreover, patients who underwent an initial soft-tissue reconstruction with a local muscle flap were more likely to require a second flap.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Health Care Sciences & Services
Jiqiang He, Gunel Guliyeva, Panfeng Wu, Liming Qing, Fang Yu, Juyu Tang
Summary: This study compared the surgical and clinical outcomes of the chain-linked bilateral anterolateral thigh perforator flaps and extended latissimus dorsi musculocutaneous flap in reconstructing large soft tissue defects in the lower extremity. The results showed that the extended latissimus dorsi musculocutaneous flap group had shorter operation and harvest times, but a higher occurrence of temporary muscle weakness at the donor site.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Surgery
Kyunghyun Min, Joon Pio Hong, Hyunsuk Peter Suh
Summary: This study retrospectively analyzed 303 cases of lower extremity reconstruction using anterolateral thigh free flaps and identified risk factors causing partial necrosis. The distance from the perforator to the flap margin, the flap elevation layer, and the flap size were found to affect the occurrence of partial necrosis.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Orthopedics
Zhaobiao Luo, Jiangdong Ni, Guohua Lv, Jianwei Wei, Lihong Liu, Ping Peng, Zhonggen Dong
Summary: This study assessed the reliability and potential risk factors of using DBSF flaps for pediatric soft tissue reconstruction, finding that the partial necrosis rate significantly increased under certain conditions, while smaller flaps were considered relatively safe.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Surgery
Frankie K. Wong, Joani M. Christensen, Mara Z. Meulendijks, David Iskhakov, Leah Ahn, Seth Fruge, Curtis L. Cetrulo Jr, Lydia A. Helliwell, Jonathan M. Winograd, Ian L. Valerio, Kyle R. Eberlin
Summary: Most patients who undergo lower extremity free tissue transfer require secondary surgery for definitive wound closure and/or refinement. The presence of diabetes and the use of latissimus dorsi donor are predictors for wound closure procedures, while fasciocutaneous and myocutaneous flaps predict refinement procedures.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Surgery
Hollie A. Power, Jeongmok Cho, Jin Geun Kwon, Usama Abdelfattah, Changsik John Pak, Hyunsuk Peter Suh, Joon Pio Hong
Summary: This study compared flap survival rates between using perforator or major artery as recipient vessels in lower limb reconstruction, showing no significant difference in success rates. Larger flap sizes were observed in major artery recipients, while shorter operative times were noted when using perforator recipients.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Medicine, General & Internal
Matteo Scampa, Vladimir Megevand, Domizio Suva, Daniel F. Kalbermatten, Carlo M. Oranges
Summary: A meta-analysis comparing post-operative outcomes between free and pedicled flaps for lower limb reconstruction revealed no significant differences in flap necrosis rate, overall complication rate, revision surgery rate, high aesthetic satisfaction rate, and post-operative infection rate. However, the partial flap necrosis rate was significantly lower in free flaps.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Manas Nigam, Elizabeth G. Zolper, Banafsheh Sharif-Askary, Salma A. Abdou, Karina Charipova, Jenna C. Bekeny, Kenneth L. Fan, John S. Steinberg, Christopher E. Attinger, Karen K. Evans
Summary: In a study of 200 lower extremity salvage free tissue transfers, the authors found a high prevalence of comorbidities such as diabetes and peripheral vascular disease. However, with standardized protocols and a multidisciplinary approach, successful limb salvage can be achieved in highly comorbid patients.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Review
Orthopedics
Said C. Azoury, Stephen J. Kovach, L. Scott Levin
Summary: The orthoplastic approach to traumatic lower extremity reconstruction, coined by the senior author, involves collaboration between multidisciplinary surgeons and specialists for optimal patient success. The goals of lower extremity salvage include optimizing limb appearance, restoring pain-free ambulation, and improving quality of life. The reconstructive ladder is used to guide the repair of composite traumatic defects, with simpler options like skin grafts and local flaps at the lower rungs, and more complex techniques like free tissue transfer at the higher rungs.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Review
Surgery
David Chi, Shreya Raman, Kenan Tawaklna, William Y. Zhu, Alexandra M. Keane, Jordan G. Bruce, Rajiv Parikh, Thomas H. Tung
Summary: This article reviews the underlying principles, application, patient selection, and surgical techniques of free functional muscle transfer for lower extremity reconstruction. The functional recovery and clinical outcomes are discussed, and the need for further investigation is emphasized.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Letter
Surgery
Eugenia H. Cho, Ronnie L. Shammas, Scott T. Hollenbeck
PLASTIC AND RECONSTRUCTIVE SURGERY
(2018)
Editorial Material
Surgery
Jason M. Weissler, Eugenia H. Cho, Peter F. Koltz, Martin J. Carney, Maxim Itkin, Pablo Laje, L. Scott Levin, Yoav Dori, Suhail K. Kanchwala, Stephen J. Kovach
PLASTIC AND RECONSTRUCTIVE SURGERY
(2018)
Article
Surgery
Jonah Parker Orr, Ronnie Labib Shammas, Analise B. Thomas, Tracy Truong, Eugenia H. Cho, Maragatha Kuchibhatla, Scott Thomas Hollenbeck
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2019)
Editorial Material
Oncology
Ronnie L. Shammas, Rachel A. Greenup, Scott T. Hollenbeck
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Oncology
Ronnie L. Shammas, Laura J. Fish, Amanda R. Sergesketter, Anaeze C. Offodile, Brett T. Phillips, Sachi Oshima, Clara N. Lee, Scott T. Hollenbeck, Rachel A. Greenup
Summary: Breast reconstruction is associated with improved patient well-being, but factors contributing to dissatisfaction post-surgery are poorly understood. This study interviewed women who underwent breast reconstruction and identified sources of dissatisfaction, such as breast asymmetry, sexual dysfunction, and physical and psychosocial well-being issues. Targeted strategies are needed to improve education and decision making to address unexpected outcomes.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Correction
Oncology
Ronnie L. Shammas, Laura J. Fish, Amanda R. Sergesketter, Anaeze C. Offodile, Brett T. Phillips, Sachi Oshima, Clara N. Lee, Scott T. Hollenbeck, Rachel A. Greenup
ANNALS OF SURGICAL ONCOLOGY
(2021)
Editorial Material
Oncology
Ronnie L. Shammas, Laura J. Fish, Amanda R. Sergesketter, Anaeze C. Offodile, Brett T. Phillips, Sachi Oshima, Clara N. Lee, Scott T. Hollenbeck, Rachel A. Greenup
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Ronnie L. Shammas, Alexander Gordee, Hui-Jie Lee, Amanda R. Sergesketter, Charles D. Scales, Scott T. Hollenbeck, Brett T. Phillips
Summary: This study compared costs, complications, and healthcare resource utilization (HCRU) across staged, delayed, and immediate free-flap breast reconstruction. The results showed that staged reconstruction was associated with higher rates of complications, higher healthcare resource utilization, and higher costs compared to delayed and immediate reconstruction.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Editorial Material
Oncology
Ronnie L. Shammas, Brett T. Phillips
ANNALS OF SURGICAL ONCOLOGY
(2023)
Editorial Material
Oncology
Ronnie L. L. Shammas, Alexander Gordee, Hui-Jie Lee, Amanda R. R. Sergesketter, Charles D. D. Scales, Scott T. T. Hollenbeck, Brett T. T. Phillips
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Ronnie L. Shammas, Geoffroy C. Sisk, Christopher J. Coroneos, Anaeze C. Offodile Ii, Rene D. Largo, Arash Momeni, Nicholas L. Berlin, Summer E. Hanson, Adeyiza O. Momoh, Jonas A. Nelson, Evan Matros, Kristen Rezak, Brett T. Phillips
Summary: This study utilized a Delphi process to define a textbook outcome in DIEP flap breast reconstruction and identified exclusion criteria for future studies. Most surgeons believed that textbook outcomes are effective metrics for evaluating the quality of breast reconstruction care.
BREAST CANCER RESEARCH AND TREATMENT
(2023)
Article
Surgery
Ronnie L. Shammas, Anna Hung, Alexandria Mullikin, Amanda R. Sergesketter, Clara N. Lee, Shelby D. Reed, Laura J. Fish, Rachel A. Greenup, Scott T. Hollenbeck
Summary: This study aims to identify the most important factors for women considering breast reconstruction and how these factors differ between those who prefer flap reconstruction and those who prefer implant reconstruction. The results show that the risk to abdominal morbidity is the most important attribute, followed by the chance of major complications, number of additional operations, appearance of the breasts, and recovery time.
Proceedings Paper
Engineering, Biomedical
Hsin-Neng Wang, Janna K. Register, Andrew M. Fales, Naveen Gandra, Pietro Strobbia, Eugenia H. Cho, Alina Boico, Gregory M. Palmer, Bruce Klitzman, Tuan Vo-Dinh
PLASMONICS IN BIOLOGY AND MEDICINE XVI
(2019)