lower extremity

Question 1

tibialis anterior flap

Answer 1

lateral condyle tibia and interosseous membrane to 1st metacarpal base and medial cuneiform
segmental tibial artery
not expendable

Question 2

arterial ulcers

Answer 2

ABI <0.4 significant disease
punched out and painful
claudication, rest pain, abnormal pulses, cool extremity
need revascularization

Question 3

venous ulcers

Answer 3

boot strap distribution between malleoli and gastroc

treat with compression, vein stripping, ablation