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Effect of renal dysfunction in free flap transfer for chronic wounds of the lower extremities

Hahn HM, Jeong YS, Lee IJ, Kim MJ, Lim H

Purpose: Free flaps play an important role in the reconstruction of chronic wounds in the lower extremities. Nonetheless, the use of free flaps for chronic wound reconstruction tends to be...
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Reconstruction Using an Osteofasciocutaneous Fibula Free Flap for a Distal Tibial Defect in Refractory Chronic Osteomyelitis: A Case Report

Moon BM, Kim YS, Kim SE, Mun HG, Pae WS

The fibular free flap (FFF) is an option used for tibial defect reconstruction in post-traumatic chronic osteomyelitis (PCOM). However, as the tibia is a weight-bearing bone, there exists a risk...
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Treatment Strategy for Entire Lower Extremity Degloving Injury: A Case Series

Yoon JH, Jeon HB, Lim NK

Degloving injuries over the entire lower extremities may result in significant complications such as infection and may even lead to death. Therefore, the establishment of an effective treatment strategy is...
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Ultrasound Guided Nerve Block for the Postoperative Pain Management

Song JH, Ko KP, Kim DY

Postoperative pain is one of the most common reasons for delayed discharge and can impede the recovery of joint motion and rehabilitation. Recently, an ultrasound-guided nerve block was shown to...
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Reconstruction of Lateral Malleolar Defects: Adipofascial Turnover Flap Based on the Peroneal Artery Perforator

Yeo H, Lee S, Park H, Park H, Kim H, Son D

Background: Lateral malleolar defects are a commonly encountered clinical issue, with several treatment options available from local flaps to microsurgical reconstruction. However, ankle defects are difficult to manage, especially in...
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Forecasting the flap: predictors for pediatric lower extremity trauma reconstruction

Fallah KN, Konty LA, Anderson BJ, Cepeda Jr A, Lamaris GA, Nguyen PD, Greives MR

Background Predicting the need for post-traumatic reconstruction of lower extremity injuries remains a challenge. Due to the larger volume of cases in adults than in children, the majority of the...
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The Leg Fat to Total Fat Ratio Is Associated with Lower Risks of Non-Alcoholic Fatty Liver Disease and Less Severe Hepatic Fibrosis: Results from Nationwide Surveys (KNHANES 2008–2011)

Kim HM, Lee Yh

Background: The prevalence of non-alcoholic fatty liver disease (NAFLD) has rapidly increased worldwide. The aim of this study was to investigate whether there is an independent relationship between regional fat...
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Long-term follow-up of a severely traumatized leg treated with ipsilateral fracture-united fibular transfer in a patient with amputation of the contralateral leg: a case report

Kim ES, Yang CE, Kim J, Kim SW

Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects....
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Resurfacing the donor sites of reverse sural artery flaps using thoracodorsal artery perforator flaps

Oh SW, Park SO, Kim YH

Background The reverse sural artery (RSA) flap is widely used for lower extremity reconstruction. However, patients sometimes suffer from donor site complications such as scar contracture and paresthesia, resulting in...
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Evaluation of pedicled flaps for type IIIB open fractures of the tibia at a tertiary care center

Vathulya M, Dhingra M, Nongdamba H, Chattopadhyay D, Kapoor A, Dhingra VK, Mago V, Kandwal P

Background Soft tissue coverage plays a vital role in replacing the vascularity of the underlying bone in Gustilo type IIIB fractures. The aim of this article was to evaluate the...
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Keystone Flap with Omega Variation and Sydney Melanoma Unit Modification to Cover Small- and Moderate-Sized Defects in the Anterior Lower Leg

Kong YT, Kim J, Shin HW, Kim KN

Background: Covering a small defect on the anterior lower leg is challenging because less soft tissue is available. This study presents the application of a keystone flap (KF) with omega...
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Distribution of Peripheral Arterial Disease in Patients Undergoing Endovascular Revascularization for Chronic Limb Threatening Ischaemia: Insights from the Vascular Quality Initiative in Singapore

Soon SXY, Patel A, Chong TT, Yap CJQ, Tay HT, Tay KH, Sivanathan C, Tang TY

This study aimed to examine the distribution of lower limb atherosclerotic lesions in a multi-ethnic Asian cohort with chronic limb threatening ischemia (CLTI) from Singapore. The Society for Vascular Surgery...
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Negative Impacts of Prolonged Standing at Work on Musculoskeletal Symptoms and Physical Fatigue: The Fifth Korean Working Conditions Survey

Jo H, Lim Ob, Ahn YS, Chang Sj, Koh SB

Purpose: We aimed to investigate variations in the risk of low back pain (LBP), lower extremity muscle pain, and whole body fatigue according to differences in prolonged standing work hours...
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Factors associated with long-term graft patency after lower extremity arterial bypasses

Jung KS, Heo SH, Woo SY, Park YJ, Kim DI, Kim YW

Purpose: This study was conducted to determine factors associated with long-term graft patency after lower extremity arterial bypass (LEAB). Methods: Database of LEABs for patients with chronic arterial occlusive disease (CAOD)...
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Comparing Outcomes of Single Versus Double Venous Anastomosis in Free Flap Operation for Lower Extremity Defect Reconstruction: A Meta-Analysis

Kim S, Lee KT

Background: Free flap operation is a common procedure for reconstructing defects of the lower extremity. However, venous congestion often results in flap failure in lower extremity reconstruction. Dual-vein anastomosis, one...
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Effectiveness of a home-based exercise program among patients with lower limb spasticity post-stroke: A randomized controlled trial

Chen S, Lv C, Wu J, Zhou C, Shui X, Wang Y

Purpose To evaluate the effectiveness of advanced practice nurse–guided home-based rehabilitation exercise program (HREPro) among patients with lower limb spasticity post-stroke. Methods This randomized controlled study recruited 121 patients with lower limb spasticity...
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Bilateral Persistent Sciatic Arteries Complicated with Aneurysmal Dilatation and Thrombotic Occlusion: A Case Report

Jang SJ, Han Y, Kwon JH

Persistent sciatic artery (PSA), a rare congenital vascular anomaly, increases susceptibility to aneurysms and accounts for 40–61% of the cases. Here, we describe a case of PSA in a 70-yearold...
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Lymphatic Vessels Mapping in the Lower Extremities of a Healthy Asian Population

Lee YH, Kim HK, You HJ, Kim DW

Purpose: Intraoperative indocyanine green (ICG) lymphography is an effective tool to obtain real-time video images of functioning lymph vessels in edematous limbs. However, it is difficult to identify the course...
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Thin and superthin perforator flap elevation based on preoperative planning with ultrahigh-frequency ultrasound

Visconti G, Bianchi A, Hayashi A, Cina A, Maccauro G, Almadori G, Salgarello M

The ability to directly harvest thin and superthin perforator flaps without jeopardizing their vascularity depends on knowledge of the microsurgical vascular anatomy of each perforator within the subcutaneous tissue up...
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Bioimpedance Analysis for Predicting Outcomes of Complex Decongestive Therapy for Gynecological Cancer Related Lymphedema: A Feasibility Study

Bae SH, Kim WJ, Seo YJ, Kim J, Jeon JY

Objective To determine whether the bioimpedance analysis (BIA) ratios of upper to lower extremities could predict treatment outcomes after complex decongestive therapy (CDT) for gynecological cancer related lymphedema (GCRL). Methods A...
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