MEDLINE Journals

    Distally based adipofascial flaps for dorsal foot and ankle soft tissue defects.

    Authors
    Suliman MT 
    Source
    J Foot Ankle Surg 2007 Nov-Dec; 46(6) :464-9.
    Abstract

    Soft tissue defects of the dorsal foot and ankle are difficult to reconstruct because the contour of the foot must be maintained for shoe fitting. The adipofascial flap, covered with a skin graft, is a suitable method of reconstruction that fulfills this important requirement. Twelve patients with soft tissue defects of the dorsal foot and at the ankle were treated in our unit with this method. Ten (83%) were children, 2 (17%) were adults. All defects were due to road traffic accidents. Three (25%) patients were women; 9 (75%) were men. The right foot was affected in 10 (83.4%) patients, with 2 (16.6%) patients having the left foot involved. The flaps used were the peroneal artery perforator flap (distally based lateral adipofascial flap) in 9 (75%) patients, the superficial sural artery flap in 2 patients (17%), and the posterior tibial artery perforator flap (distally based medial adipofascial flap) in 1 patient (8%). All flaps were successful, providing adequate contour of the foot for wearing ordinary shoes. There were 2 partial skin graft necroses, and, in 1 patient, the tips of the donor site skin flaps were necrosed. In conclusion, the distally based adipofascial flap, covered with skin graft, is a suitable method for reconstruction of soft tissue loss of the dorsal foot and ankle and provides optimum functional and aesthetic outcome with minimum donor site morbidity.

    Mesh
    Accidents, Traffic
    Adipose Tissue
    Adult
    Ankle Injuries
    Child
    Child, Preschool
    Fascia
    Female
    Follow-Up Studies
    Foot Injuries
    Graft Survival
    Humans
    Male
    Reconstructive Surgical Procedures
    Skin Transplantation
    Soft Tissue Injuries
    Surgical Flaps
    Treatment Outcome
    Language

    eng

    Pub Type(s)
    Case Reports Journal Article
    PubMed ID

    17980844

    Content Manager
    Related Content

    A novel flap to repair medial and lateral malleolar defects: anterior tibial artery perforator-based adipofascial flap.

    Distally based lateral supramalleolar adipofascial flap for reconstruction of the dorsum of the foot and ankle.

    Modified distally based sural neuro-veno-fasciocutaneous flap: anatomical study and clinical applications.

    Modified distally based peroneal artery perforator flap for reconstruction of foot and ankle.

    [Reconstruction of soft tissue defects in distal dorsalis pedis with distally based medial dorsal neurocutaneous flap on foot].

    Versatility of the sural fasciocutaneous flap in the coverage of lower third leg and hind foot defects.

    Distally based superficial sural artery flap for foot and ankle reconstruction in children.

    [Repair of soft tissue defects of lower extremity by using cross-bridge contralateral distally based posterior tibial artery perforator flaps or peroneal artery perforator flaps].