End to end versus end to side microvascular anastomosis for traumatic lower limb free flap reconstructions: A systematic review and meta-analysis.

ABSTRACT:

Background

Free flap reconstruction of the lower extremity is technically challenging and may suffer from higher complication rates than other anatomical sites. One important vascular consideration in the reconstructive process is the microsurgical anastomotic technique, namely whether an end-to-end (ETE) or end-to side (ETS) technique is used. The ETS technique is often preferred by lower limb microsurgeons, who describe its benefits of improved distal perfusion. However, this preference remains based on individual experience or poor evidence.

Methods

A systematic review of the evidence was performed, with inclusion of specifically traumatic lower limb wounds requiring free tissue transfer. Flap failure was utilised as the primary outcome, with secondary outcomes including

SUBMITTER: Kadhum M 

PROVIDER: S-EPMC11369726 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature