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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.
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2011
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