Challenges in lower limb reconstruction with microsurgical flaps

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Authors: EDUARDO LUCAS VICENTINI PEREIRA, Luana Porcelli de Camargo Franco, Isabella Borsato Simão, Renata Miranda de Macedo Rocha, Jonas Araújo Pinto, Maria Eduarda Badaró Tourinho, Marco Fábio Spinelli Filho, Giulia Medina de Barros, Roberta Criscione de Almeida Salles, Leonardo Russo Walter
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Abstract

Lower limb reconstruction with microsurgical flaps is one of the most complex areas of reconstructive surgery, especially in cases of high-energy trauma, extensive infections, previous reconstructive failures, and post-oncological defects.Despite the high success rates reported, this approach is marked by technical, physiological, logistical, and functional challenges that directly impact outcomes.This article discusses in depth the main obstacles involved in this type of reconstruction, including preoperative evaluation, flap selection, vascular management, complications, rehabilitation, and prognostic aspects.

Fields of Study & Subjects

Reconstructive Surgery and Microvascular Techniques Reconstructive Facial Surgery Techniques Bone fractures and treatments

Publication details

Journal / source
International Journal of Health Science
Volume
6
Issue
1
Pages
1–5
Publication date
5 January 2026