Ipsilateral Dorsalis Pedis Vascularized Pedicle Flap in the Distal Leg and Foot
Archives of Reconstructive Microsurgery
;
: 52-56, 2013.
Article
in Korean
| WPRIM
| ID: wpr-29787
ABSTRACT
PURPOSE:
We had proceeded seven iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defects and followed-up average for 5 years and 9 months to evaluate the survival rate, neurosensory function and cosmesis in final results. MATERIALS ANDMETHODS:
From January 1999 through October 2012, we have performed iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defect (average around 3.6x2.4 cm) in 7 cases and average age was 41.6 years (21.5 to 59.0 years). Lesion site was posterior heel in 4 cases, distal anterior leg in 3 cases. Donor structure was the dorsalis pedis artery and the first dorsal metatarsal vessel and deep peroneal nerve in 3 cases and the dorsalis pedis artery and the first dorsal metatarsal vessel in 4 cases.RESULTS:
Seven cases (100%) were survived and defect area was healed with continuous dressing without skin graft. The sensory function in the neurovascular flap was restored to normal in 3 cases. Cosmesis was good and fair in 7 cases (85.7%).CONCLUSION:
Ipsilateral dorsalis pedis vascularized pedicle flap in the distal leg and foot is one of the choice to cover the exposed bone and soft tissues without microsurgical procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peroneal Nerve
/
Arteries
/
Sensation
/
Skin
/
Surgical Flaps
/
Tissue Donors
/
Bandages
/
Metatarsal Bones
/
Heel
/
Survival Rate
Limits:
Humans
Language:
Korean
Journal:
Archives of Reconstructive Microsurgery
Year:
2013
Type:
Article
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