Dr. Duffy has done a great deal of lower extremity reconstruction since starting his practice. A myriad of problems exist for a reconstructive plastic surgeon that involve the lower extremities. These include exposed plates or screws following orthopedic trauma or reconstruction, poor healing with exposed vital structures following tumor excisions (often in conjunction with radiation therapy), and threatened limb loss in diabetics or those with peripheral vascular disease with various wounds that require an experienced reconstructive surgeon. These patients require a team approach that may consist of orthopedic surgeons or podiatrists, vascular surgeons, interventional radiologists, infectious disease physicians, and internal medicine colleagues to help with underlying medical problems including diabetes and heart disease. Dr. Duffy has been involved in countless cases of limb salvage, but is also experienced enough to be forthright with patients in letting them know when amputation may be the best option.
The size, location, and nature of the problem will dictate the reconstructive solution which may include skin grafts, local skin flaps, muscle flaps, or microsurgical free tissue transfers from another part of the body.