Reconstruction of soft tissue defect of the foot dorsum with trimmed latissimus dorsi free muscle flap with skin grafting / 中华显微外科杂志

Objective To discuss the clinical application of using trimmed latissimus dorsi free muscle flap together with skin grafting to resurface soft tissue defects on the dorsum of the foot. Methods From June 2005 to October 2011,eleven patients (8 males and 3 females,aged from 4-46 years) with large soft tissue defects of the foot dorsum were treated in our department. The size of the defects after debridement ranged from 5.0 cm × 6.0 cm-8.0 cm × 12.0 cm,all with exposed tendons or bones.Trimmed free latissimus dorsi muscular flap with split thickness skin grafting was used for reconstruction for all the 11 patients. Results All the flaps survived with no complications after surgery.During 3-10 months' follow-up,the appearance and walking function were satisfying, no further debulking procedures were needed. Conclusion Trimmed latissimus dorsi free flap with skin grafting is a good option for dorsal defect reconstruction.

Lateral Supramalleolar Adipofascial Flap in Young Children / 대한정형외과학회잡지

PURPOSE: To report relatively long-term clinical results of lateral supramalleolar adipofascial flap for children who injured soft tissue on the dorsum of the foot and ankle, a condition that readily gives rise to contracture and deformity in that area. MATERIALS AND METHODS: This report presents the authors' experience with eleven patients treated with this flap. The patients' ages ranged from three to nine years; three of the patients were male and eight were female. The major cause of the soft-tissue defects involved acute crushing injury from a traffic accident. The flap and the adjoining raw area were covered with a full-thickness skin graft after 5-7 days postoperatively, and the donor site at the lateral aspect of the leg was closed primarily without grafting. A skin graft was taken from the groin area, which was closed primarily. RESULTS: All flaps survived, and there were no major complications. No patients showed contracture at the recipient site or deformity of the foot and ankle. Compared with the other flaps, this adipofascial flap was thinner, produced less bulkiness at the recipient site, and caused only minor aesthetic sequelae at the donor site. None of the patients in this study complained of contracture and limitation of motion of the metatarso-phalangeal joint, which might be disturbed by wearing shoes or walking. CONCLUSION: The relatively long-term clinical result of a lateral supramalleolar adipofascial flap for children who sustain soft tissue defects on the dorsum of the foot and ankle is satisfactory.

Repair of dorsal skin defects of the foot with nerved anterolateral thigh flap / 中国微创外科杂志

Objective To discuss the use of anterolateral thigh flap for the repair of large defects of soft tissues in dorsum of the foot.Methods A total of 38 cases of dorsal skin defects of the foot was repaired with the anterolateral thigh flap containing the lateral femoral cutaneous nerves.Corresponding vessels and sensory nerves were anastomosed. Results The flaps survived in all the cases.The sensation in dorsum of the foot recovered completely within 2~4 months after operation and the touch,pain,and temperature sensation of the donor area recovered within 3~6 months after operation.Follow-up observations in the 38 cases for 4~18 months(mean,9 months) showed flaps with normal color,texture,and appearance.Conclusions It is recommended to repair large-scale defects in dorsum of the foot with nerved anterolateral thigh flap.

A Case of Cellular Blue Nevus on the Dorsal Aspect of the Foot / 대한피부과학회지

Cellular blue nevus is a rare type of blue nevus, which shows blue-gray or blue brown nodules or plaques of 1 to 3cm in diameter, usually located on the buttocks or sacrum. We report a case of cellular blue nevus in a 42-year-old female. She presented with a 1x3.5cm blue-black multilobulated plaque on the dorsum of left foot since childhood. Histopathologic examination showed mixed biphasic pattern with ovoid islands of polygonal cells showing somewhat clear cytoplasm alternating with bundles with spindle cells, which are densely pigmented. Mitosis and necrosis were not identified. Overall features are consistent with cellular blue nevus.

A Case of Fibroepithelioma / 대한피부과학회지

We present a case of fibroepithelioma in a 67 year-old male patient. He was admitted e,t Dey4. of Orthopedic Gurgery due to the trochanteric fracture of the femur. And he was eonsulted to our Department for evaluating the deformity of the left foot. Once he had worked as a miner, he have been suffered from multiple injuries of the left f t, The leeions beeame purulent discharge and crust. He found verrucous lesions at the site. On his visit, we found multiple dark brown verrucoua papules at dorsum of the left foot, d we psrformed the skin biopsy of the lesions. Histopathologic findinga showed a proliferation of long, brsnching and anastomosing skin of loid cells embedded within an edematous fibrous stroma.