Reverse Dorsalis Pedis Flap Based on the Distal Communicating Artery of the Dorsalis Pedis Artery for the Reconstruction of the Forefoot Defect.
- Author:
Chan KWON
1
;
Sang Hun CHO
;
Su Rak EO
Author Information
1. Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine, Goyang, Korea. surakeo@yahoo.com
- Publication Type:Case Report
- Keywords:
Surgical flap;
Foot;
Defects;
Bone lengthening
- MeSH:
Arteries;
Bone Lengthening;
Estrogens, Conjugated (USP);
Female;
Foot;
Forearm;
Humans;
Leeches;
Metatarsal Bones;
Necrosis;
Skin;
Surgical Flaps;
Tendons;
Tissue Donors;
Transplants;
Uncertainty
- From:Journal of the Korean Microsurgical Society
2013;22(1):38-41
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 31-year-old female patient presented with a skin and soft tissue defect measuring 8x6 cm in size with exposure of the extensor hallucis longus tendon and the first metatarsal bone after metatarsal lengthening for brachymetatarsia. The defect was covered with a distally based dorsalis pedis flap based on the distal communicating branch of the dorsalis pedis artery. Secondary defect was covered by a split thickness skin graft. There was congestion of the flap tip after the operation; however, it was resolved using medical leeches and anti-coagulants. No necrosis or infection was encountered and the contour of the flap was satisfactory. There was no donor site morbidity. Reverse dorsalis pedis flap has not been commonly used due to the anatomical variation and uncertainty, which is different from the reverse radial forearm flap. However, when faced with the challenge of a moderate soft tissue defect of the distal forefoot, we believe that the reverse dorsalis pedis flap offers a good option with various advantages.
