Ipsilateral Dorsalis Pedis Vascularized Pedicle Flap in the Distal Leg and Foot.
- Author:
Chang Eun YU
1
;
Jun Mo LEE
;
Hee Rack CHOI
Author Information
1. Department of Orthopedic Surgery, Chonbuk National University Medical School, Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea. ns35433@gmail.com
- Publication Type:Original Article
- Keywords:
Soft tissue defect;
Ankle;
Pedicled flap
- MeSH:
Ankle;
Arteries;
Bandages;
Foot*;
Heel;
Humans;
Leg*;
Metatarsal Bones;
Peroneal Nerve;
Sensation;
Skin;
Surgical Flaps;
Survival Rate;
Tissue Donors;
Transplants
- From:Archives of Reconstructive Microsurgery
2013;22(2):52-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We had proceeded seven iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defects and followed-up average for 5 years and 9 months to evaluate the survival rate, neurosensory function and cosmesis in final results. MATERIALS AND METHODS: From January 1999 through October 2012, we have performed iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defect (average around 3.6x2.4 cm) in 7 cases and average age was 41.6 years (21.5 to 59.0 years). Lesion site was posterior heel in 4 cases, distal anterior leg in 3 cases. Donor structure was the dorsalis pedis artery and the first dorsal metatarsal vessel and deep peroneal nerve in 3 cases and the dorsalis pedis artery and the first dorsal metatarsal vessel in 4 cases. RESULTS: Seven cases (100%) were survived and defect area was healed with continuous dressing without skin graft. The sensory function in the neurovascular flap was restored to normal in 3 cases. Cosmesis was good and fair in 7 cases (85.7%). CONCLUSION: Ipsilateral dorsalis pedis vascularized pedicle flap in the distal leg and foot is one of the choice to cover the exposed bone and soft tissues without microsurgical procedure.
