Jamie Levine

@jtstranix @JeremyPowersMD @pallabc @ErezDayanMD @prsjournal As noted, The 3-2-1 is a surrogate for level and amount of trauma and in 1 and 2 need to respect the zone concept. These are ones where vein grafting and possibly distal vessels may help.

@jtstranix @IraSavetskyMD @DrRodRohrich @shujashafqatmd @FrancescoEgro @drheatherfurnas @Friedman_MD @AraSalibianMD @JordanFreyMD @prsjournal @DrNikkiPhillips @rajparikhmd I agree. For the first time looking at longitudinal data we see a difference in the III-B category. This delineation correlates directly with the arterial injury pattern. The data tells the story. #PRSJournalClub

@shujashafqatmd @DrNikkiPhillips @jtstranix @prsjournal Muscle has a role. Very good for contouring to defects. Muscle alone is a little harder to monitor than fasciocutaneou so we take a skin padddle which helps with monitoring. #PRSJournalClub nznhhhbBb bñnnhbbbbbbyHGGVVGHUHYUOh

@jtstranix @ErezDayanMD @prsjournal Historically, the dogma was anastomoses outside the zone of injury and proximal. If the zone was big this usually required vein grafting. Vein grafting may still be necessary but distal vessels may do the trick. #Microsurgery #PRSJournalClub

@jtstranix @ErezDayanMD @prsjournal Agree. Don't overlook the distal vessels. If inline flow is intact and the vein appears soft with flow it may be an excellent option and easier to dissect. #PRSJournalClub

@JeremyPowersMD @jtstranix If the vessels reconstitute distally that at least means the patient has good distal vessel communication but still has a high force injury and higher risk of flap issues

@rajparikhmd @jtstranix @prsjournal @AliQureshiMD @danielzliu @drroykim @shujashafqatmd @FrancescoEgro @DrRodRohrich @Jp_Joonpio_HONG @HolliePowerMD @drheatherfurnas @JordanFreyMD CT Angio is the main vascular imaging. Try to do shortly before the flap. Sometimes but rarely a formal Angio is needed.

@prsjournal @jtstranix @shujashafqatmd @JordanFreyMD @ChadPurnellMD @DrRodRohrich @rajparikhmd @DrNikkiPhillips @OlivierBranford @drheatherfurnas @UChicagoPRS @UChicagoMed @drroykim @dralexeshazen @drdavidsong @PatMcGuireMD @Dr_SamuelLin @BeryDeSouza @pallabc @Muriu @CaseyKraftMD @nyulangone In lower extremity trauma you need to know the arterial injury pattern. It may dictate the outcome. #PRSJournalClub #Reconstruction

NYU Reconstructive Course. Masterful talks on lower extremity and all types of reconstruction.#PRSJournalClub

@JamieLevineMD @jtstranix @shujashafqatmd @JordanFreyMD @ChadPurnellMD @DrRodRohrich @rajparikhmd @DrNikkiPhillips @OlivierBranford @drheatherfurnas @UChicagoPRS @UChicagoMed @drroykim @dralexeshazen @drdavidsong @PatMcGuireMD @Dr_SamuelLin @BeryDeSouza Get ready for #Reconstructive Masters #PRSJournalClub! Step 3: "Modified Gustilo IIIB Classification" Q&A on bit.ly/PRSJCGustilo with @JamieLevineMD and @jtstranix THIS Sunday and Monday! Ask your questions on Arterial Injury to the authors using #PRSJournalClub!

It's all about the arterial injury... #plasticsurgery #orthopedics @ASPSMembers #microsurgery #reconstruction #limbsalvage #trauma #fracture twitter.com/prsjournal/sta…