Introduction: Soft tissue flaps are an integral and versatile tool to help manage soft tissue defects of varying severities. These complex procedures can be done by a variety of specialties and can lead to a variety of postoperative complications. Locoregional flaps are the middle rung of the reconstructive ladder and can be performed by surgeons of various training pathways. The profile of patients and their complications when stratified by surgical specialty is unknown. The purpose of this study was to compare short-term postoperative outcomes between surgical subspecialists performing a locoregional flap of the lower extremity to determine factors influencing complication rates. Methods: The National Surgical Quality Improvement Project (NSQIP) database was queried using Current Procedural Terminology code 15,738 to identify adult patients undergoing a muscle, myocutaneous, or fasciocutaneous lower extremity flap procedure from 2016 to 2019. We examined the primary outcome of a pooled wound complication rate with secondary outcomes including the individual NSQIP wound- and nonwound complications. Results: A total of 1324 patients were identified. Plastic surgeons performed 926 (70%) procedures, general surgeons performed 243 (18%) procedures, orthopedic surgeons performed 89 (7%) procedures, and vascular surgeons performed 66 (5%) procedures. On multivariate analysis, surgical subspecialty was not associated with the primary outcome, but malignancy-related operations and nonelective status were considered significant. Conclusions: Patient characteristics, but not surgeon subspecialty, account for the variation in patient outcomes in lower extremity flap reconstruction. Larger, prospective studies examining these outcomes are needed to further characterize complication risk factors in this patient population. Introduction : Les lambeaux de tissus mous sont un outil essentiel et polyvalent pour g & eacute;rer les anomalies des tissus mous de diverses gravit & eacute;s. Plusieurs sp & eacute;cialit & eacute;s peuvent effectuer ces interventions complexes, qui peuvent entra & icirc;ner des complications postop & eacute;ratoires vari & eacute;es. Les lambeaux locor & eacute;gionaux se situent au milieu de l'& eacute;chelle de la reconstruction et peuvent & ecirc;tre utilis & eacute;s par des chirurgiens aux trajectoires de formation vari & eacute;es. On ne conna & icirc;t pas le profil des patients et de leurs complications lorsqu'ils sont stratifi & eacute;s par sp & eacute;cialit & eacute; chirurgicale. La pr & eacute;sente & eacute;tude visait & agrave; comparer les r & eacute;sultats postop & eacute;ratoires & agrave; court terme entre les sursp & eacute;cialistes chirurgicaux qui utilisent un lambeau pour la reconstruction des membres inf & eacute;rieurs, afin de d & eacute;terminer les facteurs qui influent sur les taux de complications. M & eacute;thodologie : Les chercheurs ont fouill & eacute; les bases de donn & eacute;es du NSQIP au moyen du code de terminologie proc & eacute;durale actuelle (CPT) 15738 pour extraire les patients adultes qui ont subi une intervention par lambeau musculaire, myocutan & eacute; ou fasciocutan & eacute; sur les membres inf & eacute;rieurs entre 2016 et 2019. Ils ont examin & eacute; les r & eacute;sultats primaires d'un taux regroup & eacute; de complications des plaies et y ont int & eacute;gr & eacute; les r & eacute;sultats secondaires, incluant les complications individuelles de la plaie et des foyers sans l & eacute;sions du NSQIP. R & eacute;sultats : Au total, 1 324 patients ont & eacute;t & eacute; retenus. Les chirurgiens plastiques ont r & eacute;alis & eacute; 926 interventions (70 %), les chirurgiens g & eacute;n & eacute;raux en ont ex & eacute;cut & eacute; 243 (18 %), les chirurgiens orthop & eacute;diques, 89 (7 %), et les chirurgiens vasculaires, 66 (5 %). & Agrave; l'analyse multivari & eacute;e, la sursp & eacute;cialit & eacute; chirurgicale n'& eacute;tait pas associ & eacute;e au r & eacute;sultat primaire, mais les op & eacute;rations de tumeurs malignes et l'urgence & eacute;taient consid & eacute;r & eacute;s comme importants. Conclusions : Les caract & eacute;ristiques des patients, mais pas la sursp & eacute;cialit & eacute; chirurgicale, expliquent la variation des r & eacute;sultats chez les patients lors de la reconstruction des membres inf & eacute;rieurs par lambeau. Il faudra r & eacute;aliser des & eacute;tudes prospectives plus vastes de ces r & eacute;sultats pour mieux caract & eacute;riser les facteurs de risque de complications au sein de cette population de patients.
