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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...

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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
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description 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.
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identifier ISSN: 0970-0358
ispartof Indian journal of plastic surgery, 2008-01, Vol.41 (1), p.62-66
issn 0970-0358
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language eng
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source Publicly Available Content Database; PubMed Central; Thieme Connect Journals Open Access
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
title Coverage of defects over toes with distally based local flaps: A report of four cases
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