| Title | The compound thoracodorsal perforator flap in the treatment of combined soft-tissue defects of sole and dorsum of the foot. | | Author(s) | Van Landuyt K, Hamdi M, Blondeel P, Monstrey S | | Institution | Department of Plastic Surgery, University Hospital Gent, De Pintelaan 185, B-9000 Gent, Belgium. koenraad.vanlanduyt@ugent.be | | Source | Br J Plast Surg 2005 Apr; 58(3):371-8. | | MeSH | Adolescent
Adult
Aged
Child
Child, Preschool
Female
Foot Injuries
Humans
Infant
Male
Microcirculation
Microsurgery
Middle Aged
Reconstructive Surgical Procedures
Soft Tissue Injuries
Surgical Flaps
| | Abstract | Nine cases of massive soft-tissue loss of the foot were reconstructed by means of a compound (chimera) thoracodorsal artery perforator (TAP) flap, which reconstituted the different functional units (dorsum, heel, instep, weight-bearing surface). In each case, the flap consisted of a skin component isolated on its perforator in combination with a portion of latissimus dorsi muscle and/or serratus fascia, all pedicled on the thoracodorsal vessels. The pedicle length allows up to 4-6 cm of independent mobility of the skin island. The mobility of the various flap components allows the various functional units of the foot to be reconstructed without relying on multiple flaps or anastomoses. The pedicle length was sufficient to be able to perform the anastomosis out of the zone of injury. In some cases the skin island was harvested along with intercostal nerve branches, this gave us the potential to develop a sensate flap. The indications and advantages of this reconstructive method are discussed. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 15780233 |
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