Cases reported "Leg Ulcer"

Filter by keywords:



Filtering documents. Please wait...

11/16. Bipedicle gastrocnemius musculocutaneous flap for defects of the distal one-third of the leg.

    A bipedicle gastrocnemius musculocutaneous flap has been designed to cover soft-tissue defects over the lower one-third of the tibia. The flap, which consists of the entire medial or lateral half of the posterior leg skin and the underlying gastrocnemius muscle, combines the advantages of the axial-pattern blood supply of a musculocutaneous flap and the dual blood supply to a bipedicle flap. The augmented circulation from the proximal end of the flap allows the distal pedicle to be narrowed and advanced anteriorly in one stage without jeopardizing the blood supply. Bipedicle gastrocnemius musculocutaneous flaps are best suited for moderate-sized defects over the anterior lower one-third of the leg. Indications for use of the flap are presented.
- - - - - - - - - -
ranking = 1
keywords = tibia
(Clic here for more details about this article)

12/16. limb salvage with microvascular free flap reconstruction using simultaneous polytetrafluoroethylene graft for inflow.

    Microvascular free flaps have been successfully used to cover defects of the lower extremity. In patients with peripheral vascular disease and lower extremity defects, revascularization with in situ or reversed saphenous vein bypass graft combined with microvascular tissue transfer can salvage a limb that would otherwise be amputated. However, some of these patients may not have autologous vein available for the bypass procedure. We present a case of a 69-year-old man who underwent revascularization with a long polytetrafluoroethylene (PTFE) graft and a simultaneous microvascular free flap reconstruction using the PTFE graft as the inflow. The patient had undergone coronary artery bypass graft with saphenous vein and experienced a nonhealing wound of the distal saphenous vein harvest site and exposure of 8 cm of tibia. Angiogram revealed a significant stenosis of the common iliac artery, occluded superficial femoral artery, faint filling of the profunda femoris artery, and a faintly reconstituted posterior tibial artery. Because the patient had no available saphenous vein for bypass, he underwent an axillary-profunda and profunda-posterior tibial artery bypass with PTFE. A rectus abdominus microvascular free flap with direct anastomosis of the inferior epigastric artery to the PTFE was used to cover the exposed bone. The patient currently ambulates without difficulty. limb salvage using bypass with PTFE combined with simultaneous microvascular free flap reconstruction is possible in selected patients.
- - - - - - - - - -
ranking = 3
keywords = tibia
(Clic here for more details about this article)

13/16. pyoderma-gangraenosum-like ulcers associated with lupus anticoagulant.

    A 45-year-old women presented with a deep ulcerative lesion of the left breast. Two months later, a new cutaneous necrotic lesion located in the right pretibial areas was observed. The only serum abnormality was the presence of circulating lupus anticoagulant. Clinical features suggested the diagnosis of pyoderma gangraenosum and histologic examination showed microthrombosis in the dermal capillary vessels adjacent to a dense, mixed inflammatory infiltrate with some degree of vascular damage. Although thrombosis may be the result of vasculitis, it is likely that in our patient the presence of a lupus anticoagulant activity played a role in the pathogenesis of the cutaneous ulcers.
- - - - - - - - - -
ranking = 1
keywords = tibia
(Clic here for more details about this article)

14/16. Am I better off with out it?: a case study of a patient having a trans-tibial amputation after 52 years of chronic lower limb ulceration and pain.

    This case study looks at a 71-year-old man who had 52 years of chronic lower limb pain and ulceration secondary to radiotherapy for an osteosarcoma. It discusses some issues surrounding amputation in such a case and raises early preoperative involvement by a multidisciplinary amputee rehabilitation team as a mandatory arm of management.
- - - - - - - - - -
ranking = 4
keywords = tibia
(Clic here for more details about this article)

15/16. skin ulceration from tibial cement extrusion: case report and literature review.

    polymethyl methacrylate extrusion through a small tibial defect occurred during revision of a long-stemmed total knee arthroplasty. It caused necrosis and ulceration of the overlying skin. Resection of the protruding cement, debridement of the ulcer, and primary closure effected a cure. This is the first report of cement-induced skin necrosis and first report of tibial cement extrusion during revision of a total knee arthroplasty. Subcutaneous cement extrusion should be considered in the differential diagnosis of pretibial ulcers following total knee arthroplasty with cemented stems.
- - - - - - - - - -
ranking = 7
keywords = tibia
(Clic here for more details about this article)

16/16. Graves' disease presenting as localized myxedema in a thigh donor graft site.

    Pretibial myxedema, exophthalmus, and thyroid acropachy are the classic manifestations of Graves' disease. However, myxedema in Graves' disease can occur in locations other than the pretibial surfaces. Furthermore, with systemic symptoms, localized myxedema may occur at sites of trauma or scarring. We describe a patient with localized myxedema on the thigh at the site of a donor skin graft as the initial presentation of Graves' disease.
- - - - - - - - - -
ranking = 2
keywords = tibia
(Clic here for more details about this article)
<- Previous |


Leave a message about 'Leg Ulcer'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.