Operative Techniques in Lower Limb Reconstruction and Amputation

Contributors vi
Preface ix
SECTION I ANESTHESIA AND EMERGENCY
ROCEDURES
1 Femoral and Adductor Canal Blocks 2
Sarah Madison and Jean-Louis Horn
2 Popliteal Nerve Blocks 7
Ming Zhuo-Stine and Sarah Madison
3 Ankle Block 14
Andrew Lyons and Fred G. Mihm
4 Epidural Anesthesia 18
Rachel C. Steckelberg, Jean-Louis Horn,
and Sarah Madison
SECTION II FOOT, ANKLE, AND LOWER LEG
5 Fasciotomy of the Thigh, Lower Leg, and Foot 23
Graeme E. McFarland and Jason T. Lee
6 Drainage of Abscesses of Lower Leg and Foot 27
Michael C. Holland and Scott L. Hansen
7 Excision of Soft Tissue Tumors
of the Foot and Ankle 30
Raffi S. Avedian, Robert J. Steffner, and Subhro K. Sen
8 Ankle and Foot Bone Tumors 34
Robert J. Steffner, Raffi S. Avedian,
and Sahitya K. Denduluri
9 Debridement of Soft Tissue Infections
of the Foot and Ankle 41
Hunter S. Oliver-Allen, Michael C. Holland,
and Scott L. Hansen
10 Debridement of Infected Bone of the Foot and
Ankle 44
Michael C. Holland and Scott L. Hansen
11 Bony Reconstruction of Foot and Ankle (Bone
Grafts) 47
Kenneth Hunt and Loretta Chou
12 Reconstruction of the Forefoot 55
Rachel Hein and Scott T. Hollenbeck
13 The Medial Plantar Flap 65
Arash Momeni and Subhro K. Sen
14 Reconstruction of Heel and Plantar Defects:
Free Flap 70
Goo-Hyun Mun and Kyong-Je Woo
15 The Reverse Sural Artery Flap for Lower Extremity
Reconstruction 80
Ashkaun Shaterian and Amber R. Leis
16 Ankle Reconstruction With Free Flap 84
Sean S. Li, Ahmed Suliman, and Deepak M. Gupta
17 Vascular Reconstruction of Lower Extremity,
Foot, and Ankle 92
Michael D. Sgroi and Jason T. Lee
18 Management of Diabetic Foot Ulcers 99
Rahim Nazerali
19 Nerve Repair and Reconstruction—Peroneal
Nerve 102
Shawn Moshrefi and Catherine Curtin
20 Achilles Tendon Reconstruction 108
Hani Sbitany
21 Excision of Soft Tissue Tumors
of the Lower Leg 112
Raffi S. Avedian and Robert J. Steffner
22 Excision of Bone Tumors of the Lower Leg 115
Raffi S. Avedian and Rohit Khosla
23 Debridement of Soft Tissue Infections
of the Lower Leg 119
L. Scott Levin and Paulo Piccolo
24 Tibial Reconstruction 123
Vishwanath R. Chegireddy, Michael J. A. Klebuc, and
Anthony Echo
25 Soft Tissue Coverage of Lower Leg—Free
Flap 130
Goo-Hyun Mun and Kyong-Je Woo
26 Soft Tissue Coverage of Lower Leg—Soleus
Flap 138
Rahim Nazerali and Lee L. Q. Pu
ContentsSECTION III KNEE
27 Nerve Repair and Reconstruction—Tibial
Nerve 143
Shawn Moshrefi and Catherine Curtin
28 Excision of Soft Tissue Tumors of the Knee 148
Raffi S. Avedian
29 Excision of Bone Tumors of the Knee 152
Raffi S. Avedian
30 Bony and Soft Tissue Debridement
Around the Knee 157
Derek F. Amanatullah, Michael J. Chen,
Sahitya K. Denduluri, and James I. Huddleston
31 Bone Reconstruction of the Knee 165
Robert J. Steffner and Raffi S. Avedian
32 Soft Tissue Coverage of the Knee: Gastrocnemius
Muscle Flap 174
Hani Sbitany
33 Soft Tissue Coverage of the Knee:
Free Flaps 178
Goo-Hyun Mun and So Young Kim
34 Repair of Patella Tendon 185
Patrick Horrigan, Michael Bellino, and Julius Bishop
SECTION IV THIGH
35 Excision of Soft Tissue Tumors of the Thigh 189
Raffi S. Avedian
36 Excision of Bone Tumors of the Femur 194
Raffi S. Avedian
37 Femoral Bone Debridement 198
Robert J. Steffner, David W. Lowenberg,
and Sahitya K. Denduluri
38 Reconstruction of Femur 202
Vishwanath R. Chegireddy, Michael J. A. Klebuc,
and Anthony Echo
39 Soft Tissue Coverage of the Thigh—Pedicled Rectus
Flap 209
Brock Lanier and Alex Wong
40 Soft Tissue Coverage of Thigh—Free Flaps 214
Ulrich Kneser and Thomas Kremer
41 Nerve Repair and Reconstruction—Sciatic Nerve and
Femoral Nerve 221
Gabrielle B. Davis and Catherine Curtin
42 Keystone and Related Perforator Flaps 229
Michael W. Findlay
SECTION V AMPUTATION AND REPLANTATION
43 Amputation of the Lower Extremity: Toes,
Foot, Ankle 236
Kedar S. Lavingia and Jason T. Lee
44 Amputation of the Lower Extremity:
Above-Knee Amputation, Below-Knee
Amputation, Through-Knee Amputation 240
Anahita Dua and Jason T. Lee
SECTION VI LYMPHEDEMA
45 Lymphaticovenous Anastomosis 243
Ann-Charlott Docherty Skogh and Martin Halle
46 Lymphedema: Lymph Node Transfer 249
Adrian S. H. Ooi and David W. Chang
47 Fasciocutaneous Debulking of Extremity
Lymphedema: The Charles Procedure 259
Clifford C. Sheckter and Peter Johannet
48 Liposuction for Treatment of Lymphedema 263
Dung Nguyen and Joseph Baylan
SECTION VII BURNS
49 Acute Management: Tangential Excision
and Skin Grafting 267
Yvonne L. Karanas
50 Reconstruction of Contractures: Z-Plasty,
Skin Grafting, and Flaps 272
Xiangxia Liu
51 Soft Tissue Reconstruction With Propeller
Flaps 282
Adam Jacoby, John T. Stranix, and Pierre Saadeh
Index 287