Optimizing Lower Extremity Reconstructions: Current practice and strategies to improve outcomes

Abstract

This thesis explores strategies to improve the outcomes of patients who need a lower leg reconstruction. Due to the fact that lower extremity reconstructions are multi-facetted, this thesis focuses on three sub-topics: - What factors impact the outcomes, and how can we improve them? - How can we provide postoperative care in a more efficient manner? Is dangling necessary? - What is the prevalence of pain in patients who have had a lower extremity amputation, and what are the therapeutic options? We found that pain and mental factors have a substantial impact on the outcomes of these patients, and we advocate that mental support should be offered to patients who have had severe lower extremity trauma. The prevalence of pain is underestimated in patients who have had a lower extremity amputation despite the fact that treatment options often still exist. Furthermore, we researched if a dangling protocol after a microvascular tissue transplantation is necessary, and our conclusion is that it is not. Therefore, patients will be able to exit the hospital earlier.