The aim of lower extremity reconstruction has focused on wound coverage and functional recovery however there are limitations in the use of a local flap in cases of extensive defects of the lower extremities therefore free flap is a useful option in lower extremity reconstruction. Lower extremity arterial reconstruction for critical limb ischemia in diabetes enzo ballotta md antonio toniato md giacomo piatto md franco mazzalai md and sions and ischemic wounds requiring arterial reconstruction to heal secondary procedures needed to treat ischemic ulcers or gangrene eg debridement or toe amputation . Limb sparing surgery with vascular reconstruction in lower extremity soft tissue sarcoma promising results khalid mowafy life table analysis for arterial reconstruction showed primary patency rate of 7385 at 10 months and 646 at the end of study with limb salvage rate of 867 at last follow up visit. Arterial reconstruction of the lower extremity an arterial reconstruction in the groin region was performed in 5 patients in 15 patients the superficial femoral artery was resected due to tumor invasion in three more patients a resection of the superficial femoral as well as the popliteal artery was required. Lower extremity reconstruction is an essential part of plastic surgery and focuses on the treatment of wounds and defects secondary to trauma cancer or chronic disease processes they are supplied by the peroneal artery and innervated by the superficial peroneal nerve
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