Document Detail


Current concepts of instep island flap.
MedLine Citation:
PMID:  3662357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The durability of the instep island flap and the sequelae of the flap donor site were assessed. The average follow-up period for 13 patients was 3 years and 8 months. Flaps provided permanent durable reconstruction of the heel, if there was no scar in the flap preoperatively. Flaps with scar or free skin graft showed hyperkeratosis or fissure of the flap after transfer to the heel. Accordingly, conservative treatment, special shoes, or other surgical procedures should be considered for these patients. All flaps that were transferred as sensory flaps preserved light-touch cutaneous sensitivity and static 2-point discrimination within a measurable range. The sequelae due to the flap elevation were tenderness in the bifurcation of superficial branches from the common digital nerves and sensory disturbance of the forefoot. Indications and surgical techniques are discussed.
Authors:
Y Miyamoto; Y Ikuta; S Shigeki; M Yamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  19     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1987-11-09     Completed Date:  1987-11-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  97-102     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Hiroshima University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Child, Preschool
Female
Foot / surgery*
Heel / surgery
Humans
Male
Middle Aged
Surgery, Plastic / methods
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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