Extremity Reconstruction

Case #1

This patient presented with osteomyelitis (bone infection) in his tibia bone (leg bone) after a total knee operation. Dr Mussman was able to clear the infection and reconstruct the wound. The patient has had no additional problems. This avoided a potential amputation.

Case #2

The patient presented with painful osteomyelitis of his elbow. He had undergone 13 previous surgeries. Dr. Mussman was able to clear his infection and reconstruct the wound with aggressive debridement and radial forearm flap. The patient’s forearm flap donor site was reconstructed with full thickness skin graft from groin donor site skin.

Case #3

This patient in his 50s presented with a threatened left foot after debridement and amputation of necrotic infection. Dr. Mussman performed a reverse sural fascial flap with split thickness skin graft. The patient remains stable in reconstruction over one year later.

Case #4

This patient presented in her 50s with infected bone after a total knee operation. Dr. Mussman was able to clear the infection and reconstruct the wound with a regional gastrocnemius muscle flap with split thickness skin graft. The patient remains stable without signs of infection.

Case #5

Patient in her 60′s presents with large wound that had failed several months of conservative wound care. Dr. Mussman performed z-plasty to shrink the wound followed by delivery of additional tissue from a radial forearm flap. She remains healed well.

Case #6

Patient in his 60′s with severe peripheral vascular disease presented with a large wound involving the ankle and foot. Note the exposed ankle bone. Dr. Mussman was able to clear the infection from the bone with thorough debridement followed by reconstruction with a regional fascial (reverse sural) flap followed by split thickness skin graft and directed antibiotics. The patient remains stable in his reconstruction.

Case #7

Patient in his 50′s presented with 9 months of draining sinus after a previous procedure. The leg had undergone several debridements without success. Dr. Mussman was able to clear the infection with aggressive debridement, guided antibiotics, and delivery of additional vascularized tissue with a medical gastrocnemius muscle flap with split thickness skin graft. The leg healed well, the infection was cleared, and amputation was avoided.

Case #8

Patient in her 80′s presented with three years of exposed tibia and 28 years of open wound after a devastating motor vehicle accident. She had multiple operations over the decades preceding Dr. Mussman’s consultation. She had lost all hope that she would ever be healed and was sent to the emergency room for amputation. Dr. Mussman was able to clear the infection and provide stable wound healing by mobilizing regional soleus muscle (calf) into the wound with skin graft. The patient now sees Dr. Mussman once per year for a checkup and has no problems to date.

Case #9

This patient in his 20′s presented on referal from his orthopedic surgeon for exposed fibula bone and hardware. Dr. Mussman was able to salvage the hardware and heal the wound with a peroneus brevis muscle flap flap and split thickness skin graft.

Case #10

hand reconstruction after mohs excision of skin cancer tendon exposure

Case #11

Knee Reconstruction Gastrocnemius flap with skin graft

Case #12

Knee Reconstruction of Threatened total knee arthroplasty with gastrocnemius flap and split thickness skin graft

Case #13

Knee reconstruction with gastrocnemius flap and skin graft

Case #14

knee reconstruction with gastrocnemius flap and skin graft #2

Case #15

Knee Reconstruction with gastrocnemius muscle flap and skin graft infected total knee arthroplasty salvage

Case #16

Knee Reconstruction with Gastrocnemius Muscle Flap and spli thickness skin graft

Case #17

Knee reconstruction with muscle flap and split thickness skin graft

Case #18

Knee Reconstruction with Vastus Lateralis Flap over infected total knee arthroplasty with skin graft

Case #19

Leg Reconstruction after trauma with gastrocnemius muscle, soleus muscle, and skin grafts

Case #20

Leg Reconstruction Fibula Exposed Plate Peroneus Brevis Flap with Skin Graft

Case #21

Leg Reconstruction with Sural Flap and split thickness skin graft

Case #22

Leg salvage of infected total knee arthroplasty with gastrocnemius muscle flaps and skin grafts

Case #23

Limb salvage after large Morel-Lavallée lesion lesion requiring massive debridement and skin grafting

Case #24

Severe infection of total knee arthroplasty salvage with gasgtrocnemius muscle flap and split thickness skin graft

Case #25

Sural flap ankle reconstruction healed

Case #26

Sural Flap Leg Reconstruction

Case #27

Threatened Infection of Total Knee Arthroplasty Salvage with Gastrocnemius muscle flap and skin graft

Case #28

Thumb Reconstruction full thickness skin graft

Case #29

Total leg salvage with gastrocnemius, soleus, and fasciocutaneous flaps with skin graft