Limb salvage and wound coverage in patients with large ischemic ulcers: A multidisciplinary approach with revascularization and free tissue transfer

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Presentation transcript:

Limb salvage and wound coverage in patients with large ischemic ulcers: A multidisciplinary approach with revascularization and free tissue transfer Kevin F. Ciresi, MD, James P. Anthony, MD, William Y. Hoffman, MD, Jon C. Bowersox, MD, PhD, Linda M. Reilly, MD, Joseph H. Rapp, MD Journal of Vascular Surgery Volume 18, Issue 4, Pages 648-655 (October 1993) DOI: 10.1016/0741-5214(93)90074-V Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Completion arteriogram in 62-year-old man after transmetatarsal amputation and femoral-to-peroneal vascular bypass, demonstrating vascular patency. Journal of Vascular Surgery 1993 18, 648-655DOI: (10.1016/0741-5214(93)90074-V) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Transmetatarsal amputation site with exposed bones, muscles, and tendons. Journal of Vascular Surgery 1993 18, 648-655DOI: (10.1016/0741-5214(93)90074-V) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Completed serratus anterior muscle free tissue transfer with split thickness skin graft. Journal of Vascular Surgery 1993 18, 648-655DOI: (10.1016/0741-5214(93)90074-V) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Healed flap and ambulatory patient at 3 months. Journal of Vascular Surgery 1993 18, 648-655DOI: (10.1016/0741-5214(93)90074-V) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions