Lower Extremity Reconstruction
Introduction In this chapter we present the topic of reconstruction of soft tissue and bone defects in the lower extremity. We present the multiple indications for lower extremity reconstruction and…
Upper Extremity Reconstruction
Introduction The many specialized structures of the hand and upper extremity work in intimate synchrony to provide a harmonious interplay of precision motor biomechanics with fine tactile senses. Our hands…
Adult Brachial Plexus Injury (A-BPI) Reconstruction
Introduction The surgical management of adult brachial plexus injury (A-BPI) reconstruction has evolved substantially over the last century. The advancement of the operative microscope and surgical loupe magnification, micro-instruments and…
Pelvic and Urogenital Reconstruction
Introduction Perineal and urogenital reconstruction has particular challenges due to the anatomic and functional complexity and differences between the male and female genitalia. Furthermore, genital defects and abnormalities are associated…
Chest and Back Reconstruction
Introduction The structure of the chest and back serves multiple functions that are important to be aware of and maintain during reconstruction. The chest and back protect the vital heart,…
Abdominal Wall Reconstruction
Introduction The need for soft tissue coverage in abdominal wall reconstruction implies a lack of tissue beyond the availability of local tissue to be recruited to resurface the defect. As…
Breast Reconstruction
Introduction Autologous options for breast reconstruction have greatly expanded since the initial descriptions of the latissimus dorsi musculocutaneous flap and the transverse rectus abdominis musculocutaneous (TRAM) flap. In many ways,…
Facial Reanimation: Evolution and Refinements
Introduction and Historic Review Facial paralysis (FP) is a devastating condition which strips the human face from all emotional expressivity, leading to severe consequences in the quality of life, interpersonal…
Clinical Anatomy and Recipient Vessel Selection and Exposure in the Lower Extremity
Introduction The reconstructive microsurgeon is often consulted for management of lower extremity bone and soft tissue defects. Defects can arise from multiple causes, including trauma, oncologic resection, infection, or pre-existing…