Addressing common orthopaedic calamities with microsurgical solutions

      Highlights

      • Reconstructive microsurgery can aid in the management of many complex orthopaedic surgery complications.
      • Orthoplastic limb salvage refers to the collaborative efforts of orthopaedic surgeons and plastic surgeons in extremity reconstruction.
      • Free tissue transfers in the form of autotransplantation and allotransplantation continue to evolve and push forward surgical innovation.
      • Reconstructive surgery can provide solutions for non-osseous problems including aesthetic deformity, lymphedema, and nerve injury.

      Abstract

      Reconstructive microsurgery has been an essential aspect of orthopaedic surgery and extremity reconstruction since the introduction of the operating microscope in the mid-20th century. The reconstructive ladder ranges from simple healing by secondary intention to complex procedures such as free tissue transfer and vascularized composite allotransplantation. As orthopaedic surgery has evolved over the past 60 years, so too have the reconstructive microsurgical skills that are often needed to address common orthopaedic surgery problems. In this article, we will discuss a variety of complex orthopaedic surgery scenarios ranging from trauma to infection to tumor resection as well as the spectrum of microsurgical solutions that can aid in their management.

      Keywords

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