Document Detail

Techniques for covering soft tissue defects resulting from plantar ulcers in leprosy: Part III. Use of plantar skin or musculocutaneous flaps and anterior leg flap.
MedLine Citation:
PMID:  10804971     Owner:  NLM     Status:  MEDLINE    
Anatomical studies suggest that five types of plantar flaps namely, the lateral and medial plantar flaps, the Abductor hallucis-, the Flexor digitorum brevis-, and the Abductor digiti minimi-myocutaneous flaps, can be incised from the central section of the sole. The advantages of a plantar flap are recognizable neurovascular bundles of the sole, wide calibre of constantly located blood vessels, identical histological structure of the donor and the recipient sites, hidden donor site and absence of functional deficit. We have used the plantar flaps in seven cases. There has been no recurrence of ulceration in any of them during the follow-up period of 12 to 108 months. An anterior leg flap based on the cutaneous branches of the anterior tibial artery, with firmly anchored vessels, a long pedicle with wide vessels may be used not only as a free flap graft for reconstruction of moderate degree distant defects but also as a retrograde island flap graft for the reconstruction of adjacent tissue defect. We have used the retrograde island flap graft based on the anterior tibial artery in five cases of plantar ulceration with satisfactory results. There was no recurrence of ulceration during the follow-up period of 48 to 72 months.
L Dong; F Li; J Zhang; Y Ye; G Zhang; Z Guocheng
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of leprosy     Volume:  71     ISSN:  0254-9395     ISO Abbreviation:  Indian J Lepr     Publication Date:    1999 Oct-Dec
Date Detail:
Created Date:  2000-06-01     Completed Date:  2000-06-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8409173     Medline TA:  Indian J Lepr     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  423-36     Citation Subset:  IM    
Zunyi Hospital, Shanghai, PR China.
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MeSH Terms
Foot / anatomy & histology*,  blood supply,  innervation,  surgery
Foot Ulcer / etiology,  surgery*
Leg Ulcer / surgery
Leprosy, Lepromatous / complications,  surgery*
Skin Transplantation / methods*
Surgical Flaps* / blood supply

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