An innovative design for reconstruction of plantar heel by split partially overlapping anterolateral thigh flap

An innovative design for reconstruction of plantar heel by split partially overlapping... There are a myriad of choices to reconstruct the hindfoot, which include local, distant and free flaps. Microvascular reconstruction is required for more extensive defects of the foot. The ideal reconstruction should achieve durable coverage, adequate contour and solid anchoring to resist shearing forces and to withstand weight bearing. We advocate the use of the split overlapping anterolateral thigh perforator flap when two reliable perforators can be identified and the patient desires a one stage procedure, in selected cases of complex defects of the heel and sole, without the need for debulking. This restores foot function, has minimal donor-site morbidity and achieves satisfactory long-term functional results. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

An innovative design for reconstruction of plantar heel by split partially overlapping anterolateral thigh flap

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Publisher
Springer Journals
Copyright
Copyright © 2011 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0472-y
Publisher site
See Article on Publisher Site

Abstract

There are a myriad of choices to reconstruct the hindfoot, which include local, distant and free flaps. Microvascular reconstruction is required for more extensive defects of the foot. The ideal reconstruction should achieve durable coverage, adequate contour and solid anchoring to resist shearing forces and to withstand weight bearing. We advocate the use of the split overlapping anterolateral thigh perforator flap when two reliable perforators can be identified and the patient desires a one stage procedure, in selected cases of complex defects of the heel and sole, without the need for debulking. This restores foot function, has minimal donor-site morbidity and achieves satisfactory long-term functional results.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Oct 1, 2011

References

  • Reconstruction of foot defects with free lateral arm fasciocutaneous flaps: analysis of fifty patients
    Ulusal, BG; Lin, YT; Ulusal, AE; Lin, CH; Yen, JT

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