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Lower Limb Reconstruction

Lower Limb

Lower limb defects are common and are result of trauma, cancer and infections. Due to their thin and non expandable soft tissue, even small defects can become problematic and challenge to Plastic Surgeon .

 

Traumatic injuries such as severe fractures, crush injuries, or extensive tissue loss often necessitate reconstructive surgery to repair damaged bones, muscles, nerves, blood vessels, and skin.

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Common Plastic Surgery Procedures For This Are:

  • Skin grafts : Skin grafting involves transferring skin from one area of the body to another to cover wounds or areas of tissue loss.
  • Flaps : Flaps involve moving skin along with its underlying tissue, blood vessels, and sometimes muscle to the recipient site.
  • Soft Tissue Reconstruction: Soft tissue reconstruction involves repairing or reconstructing muscles, tendons, ligaments, and other soft tissues in the lower limb. This may include tendon transfers to restore function, lengthening or shortening procedures to correct deformities, or repairing soft tissue injuries
  • Microsurgery: Microsurgical techniques involve using a microscope and specialized instruments to perform intricate procedures such as nerve repair, vascular anastomosis, or tissue transplantation. Microsurgery is commonly used in lower limb reconstruction to restore sensation, blood flow, and function to damaged tissues.

1. Venous Ulcers:

Venous ulcers, also known as venous stasis ulcers or venous insufficiency ulcers, typically occur as a result of chronic venous insufficiency. This condition occurs when the valves in the veins of the legs fail to function properly, leading to impaired blood flow back to the heart and pooling of blood in the lower extremities. Over time, this can result in increased pressure in the veins, causing inflammation and damage to the surrounding tissues.

Causes:

  • Chronic venous insufficiency
  • Deep vein thrombosis (DVT)
  • Varicose veins
  • Obesity
  • History of leg trauma or surgery

Characteristics:

  • Typically located on the lower leg, near the ankle
  • Irregularly shaped with shallow borders
  • Often surrounded by areas of hyperpigmentation, edema, or dermatitis
  • May produce exudate that is serous or serosanguinous
  • Pain may be present but is often mild compared to arterial ulcers

Treatment:

  • Compression therapy to improve venous return and reduce edema
  • Wound dressings to promote healing and prevent infection
  • Elevation of the legs to reduce swelling
  • Surgical intervention or minimally invasive procedures to address underlying venous insufficiency (e.g., vein ablation, sclerotherapy)

2. Arterial Ulcers:

Arterial ulcers, also known as ischemic ulcers or arterial insufficiency ulcers, result from inadequate blood supply to the tissues, typically due to arterial occlusive disease. This condition restricts blood flow to the legs, leading to tissue ischemia and eventual ulceration. Arterial ulcers are more common in individuals with peripheral arterial disease (PAD) or atherosclerosis.

Causes:

  • Peripheral arterial disease (PAD)
  • Atherosclerosis
  • Diabetes mellitus
  • Smoking
  • Hypertension
  • Hyperlipidemia

Characteristics:

  • Often located on the toes, heels, or other pressure points on the foot
  • Well-defined borders with a punched-out appearance
  • Pale or necrotic tissue surrounding the ulcer
  • Minimal to no edema
  • Severe pain, especially at rest or with elevation of the legs

Treatment:

  • Revascularization procedures to restore blood flow to the affected limb (e.g., angioplasty, bypass surgery)
  • Wound debridement to remove necrotic tissue and promote granulation
  • Topical wound care to facilitate healing and prevent infection
  • Offloading pressure from the ulcerated area to prevent further tissue damage

Best Results / Before & After

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Flap-surgery-for-Pilonidal-Sinus
Foot-trauma-with-VAC-and-Skin-Grafting
Toe-Replantation
BEST QUALITY

Our Goal is Quality Treatment with Satisfaction:

At Sukriti Clinic we believe that quality and customer satisfaction are crucial in any medical practice, including plastic and pediatric surgery clinics. We focus on providing personalized care tailored to each patient's needs. This involves clear communication, empathy, and involving patients in decision-making processes regarding their treatments. We emphasis on:

  • Safety Protocols
  • Quality of Care
  • Patient-Centered Care
  • Ethical Practices
  • Holistic Approach
  • Transparent Communication
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