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Rotation Fasciocutaneous Flap with Z - Plasty: Clinical Applications for Reconstruction of the Lower Leg
Journal of the Korean Society of Plastic and Reconstructive Surgeons ; : 609-614, 2000.
Artigo em Coreano | WPRIM | ID: wpr-145930
ABSTRACT
The reconstruction of foot remains difficult due to its unique structure, insufficient local soft tissue and poor vascularity in spite of many surgical modalities. The medial plantar island flap enables to obtain sensate and structurally similar tissue with single operative procedure. We reconstructed 5 cases of soft tissue defects on foot by using medial plantar island flap(3 cases proximally- based, 2 cases distally-based) in diabetics. Successful soft tissue coverage was achieved on medial malleolus, dorsal midfoot, tendo calcaneus, and forefoot. The size of the flap ranged from 3.5 x 3.0 cm to 6.0 x 4.0 cm. The follow-up period ranged from 8 to 26 months. All flaps survived without serious complications. All patients gained confidence in daily activities and were able to ambulate in normal footwear. This paper demonstrates that medial plantar island flap with proximally and distally-based pedicle should be considered as a useful technique for reconstruction of soft tissue defect from ankle to forefoot.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Procedimentos Cirúrgicos Operatórios / Calcâneo / Seguimentos / Pé / Perna (Membro) / Tornozelo Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Plastic and Reconstructive Surgeons Ano de publicação: 2000 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Procedimentos Cirúrgicos Operatórios / Calcâneo / Seguimentos / Pé / Perna (Membro) / Tornozelo Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Coreano Revista: Journal of the Korean Society of Plastic and Reconstructive Surgeons Ano de publicação: 2000 Tipo de documento: Artigo