Coverage of defects over toes with distally based local flaps: A report of four cases

Reconstruction of the distal foot, especially of the toe has always been a challenging problem. Various methods have been tried with variable success rates and limitations. Presented here is a series of four cases, where distally based flaps were used. Two of them were Extensor Digitorum Brevis (EDB...

Full description

Saved in:
Bibliographic Details
Published in:Indian journal of plastic surgery 2008-01, Vol.41 (1), p.62-66
Main Authors: Koul, Ashok Raj, Patil, Rahul K, Philip, VinothKumar
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Communication
Diagnosis
Dissection
distal foot defects
Distal foot defects, distally based flaps, toe defects
distally based flaps
Foot
Foot diseases
Patients
Risk factors
Skin & tissue grafts
Surgery
Surgical techniques
toe defects
Veins & arteries
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Reconstruction of the distal foot, especially of the toe has always been a challenging problem. Various methods have been tried with variable success rates and limitations. Presented here is a series of four cases, where distally based flaps were used. Two of them were Extensor Digitorum Brevis (EDB) muscle flaps and the other two were first dorsal metatarsal artery (FDMA) based skin flaps. One in each of the two was augmented with a plantar V-Y advancement flap. All flaps survived completely without any flap- or donor site-related complications. The patients were ambulated two weeks following the reconstruction and were symptom-free after an average follow-up of thirteen months. Distal flaps based on the dorsalis pedis system provide a reliable cover for distal foot defects.
ISSN:0970-0358
1998-376X
DOI:10.1055/s-0039-1699230