| Free flap reconstruction of the foot. | |
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MedLine Citation:
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PMID: 10382794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Free flap reconstruction of the foot has been widely performed in the last 20 years, but choice of a free transferred substitute for the soft tissue of the particular defect remains controversial. The authors present a series of 77 free flaps to the foot performed in 68 patients during October 1976 and September 1997. Long-term follow-up ranged from 12 months to 18 years (median, 44.4 months). Seventy-three flaps were transferred successfully (95%). The indications for a specific flap depended on the localization and extension of the foot defect. In weight-bearing areas the authors favored the use of a muscle flap covered with a split-thickness skin graft; the latissimus dorsi muscle was used primarily. This study shows a lower ulceration rate in muscle flaps covered with split-thickness skin grafts than in fasciocutaneous flaps in weight-bearing areas (27% vs. 60%). In nonweight-bearing areas, fasciocutaneous flaps were the best choice. In this series, the lateral arm flap was applied most often. The authors recommend free fascial flaps (serratus fascial flap or radial forearm fascial flap) covered by split- or full-thickness skin grafts for coverage of the malleolar region as well as coverage of exposed tendons of nonweight-bearing regions. Proper tailoring of the flap and postoperative care are very important to maintain a result without ulceration, as is avoiding having the suture line cross a weight-bearing area. Tactile sensation does not seem to be essential. |
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Authors:
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C Rainer; A H Schwabegger; T Bauer; M Ninković; T Klestil; C Harpf; M M Ninković |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of plastic surgery Volume: 42 ISSN: 0148-7043 ISO Abbreviation: Ann Plast Surg Publication Date: 1999 Jun |
Date Detail:
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Created Date: 1999-09-09 Completed Date: 1999-09-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 595-606; discussion 606-7 Citation Subset: IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, University of Innsbruck, Austria. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Child, Preschool Female Follow-Up Studies Foot / surgery* Foot Injuries / surgery* Graft Survival Humans Male Middle Aged Muscles / transplantation Postoperative Complications Reconstructive Surgical Procedures* Skin Transplantation Surgical Flaps* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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