Principles of Reconstruction for Complex Lower Extremity Wounds

In this review, a number of important principles of reconstruction for a complex lower extremity wound is outlined. These principles include proper evaluation of the complex lower extremity wound, the proper preparation and planning for the wound closure, understanding the issues for limb salvage versus primary amputation, and understanding the selection of a reconstructive option. These principles also include orthoplastic approach for management of more complex composite tissue loss in the lower extremity, perioperative management after a complex soft-tissue reconstruction, the management of an unsuccessful flap reconstruction, reoperations after successful flap reconstructions.