Published in:
01-10-2004 | Invited Commentary
Commentary on “Reconstruction of an extensive tibial soft tissue defect with multiple local muscle flaps for limb salvage when free tissue transfer was not an option”, by Thornton and Pu
Author:
J. Vesely
Published in:
European Journal of Plastic Surgery
|
Issue 5/2004
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Excerpt
The lower extremities can be considered as a delicate aging indicator, especially in elderly people who develop vascular changes that are usually of venous or arterial origin. Advanced chronic venous insufficiency, systemic sclerosis or chronic ulcers (e.g., in diabetic feet) help to provide conditions where even small surgery can cause considerable edema, wound dehiscence and lots of complications which are normally caused by excessive scarring. Although medical science is devoting more effort toward understanding and offering therapy to control scar formation, we are able to influence scarring slightly but not totally. …