SHORT COMMUNICATION Reverse medial plantar artery flap
نویسنده
چکیده
Coverage of soft tissue defects of the sole has been one of the major challenges of reconstructive surgery. The sole is a specialized structure, with thick skin and septae in the subcutaneous tissues which make it especially resistant to damage from shear forces and high pressures typical of the sole. Replacement by non-sole skin such as by dorsalis pedis, reverse sural and free flaps will be more prone to recurrent ulceration due to the less resistant skin in these donor areas. The medial plantar artery flap has become the standard method of soft tissue replacement of the heel. The forefoot, however, remains a challenge. Options include:
منابع مشابه
Reconstruction of soft-tissue lesions of the foot with the use of the medial plantar flap☆
Objective To study use of the medial plantar flap for reconstruction of the heel and foot. Method The authors share their clinical experience with the use of the medial plantar artery flap for coverage of tissue defects around the foot and heel after trauma. Twelve cases of medial plantar artery flap performed from January 2001 to December 2013 were included. Results Of the 12 patients, ten...
متن کاملFree Medial Plantar Flap Connection with a Posterior Tibial Artery Flap in Reconstruction of Fore–Mid Foot Skin Defect
BACKGROUND Although there are many surgical treatments for covering the skin defect of the fore-mid foot, how to reconstruct the weight-bearing region remains a challenge. The weight-bearing region of the sole needs to withstand the pressure and shearing stresses of walking, so the plantar skin is anatomically different from other skins in the areas of texture, thickness, subcutaneous tissue, e...
متن کاملHeel reconstruction with free instep flap: a case report
INTRODUCTION Reconstruction of weight-bearing heel defects remains a challenge because of the unique characteristics of the plantar skin. Though numerous surgical reconstructive options have been reported, the instep flap represents an ideal option and seems to be more acceptable to patients than others. However, when the heel defect expands to the instep area, the ipsilateral instep is not ava...
متن کاملReverse Peroneal Artery Flap for Large Heel and Sole Defects: A Reliable Coverage
BACKGROUND Large soft tissue defects of ankle and foot always have been challenging to reconstruct. Reverse sural flaps, free flaps have been used for this problem with variable success. Reverse peroneal artery flap is an option to use with reliability without microvascular repair. Connections of peroneal artery around talus and ankle joint are deep and reliable with anterior tibial and post...
متن کاملSkin defects covered using medialis pedis flaps after correction of severe flexion contracture of the big toes due to plantar fibromatosis.
tendon just proximal to the navicular bone tubercle and bifurcates to medial and lateral branches. The medial branch of the deep branch of the medial plantar artery nourishes the skin of the medial aspect of the foot along the midlateral line of the first metacarpus. A flap can be extended to the middle of the first metacarpus distally and the medial malleolus proximally. The maximum size of a ...
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تاریخ انتشار 2006