The reconstruction of foot soft tissue defects by tangential debulking of the latissimus dorsi flap
Journal of Reconstructive Microsurgery, cilt.27, sa.4, ss.211-214, 2011 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 27 Sayı: 4
- Basım Tarihi: 2011
- Doi Numarası: 10.1055/s-0031-1272961
- Dergi Adı: Journal of Reconstructive Microsurgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.211-214
- Anahtar Kelimeler: debulking, Foot, free flap, reconstruction, soft tissue
- Maltepe Üniversitesi Adresli: Evet
Özet
Reconstruction of foot soft tissue is challenging particularly in the presence of a large defect involving both dorsal and plantar surfaces. In large defects, use of a latissimus dorsi muscle (LDM) flap is the preferred coverage method, yet LDM flaps are bulky. Despite undergoing multiple debulking procedures, patients whose feet are repaired with LDM flaps must wear oversized custom-made shoes. We developed an approach to allow patients to wear regular shoes. In six patients, we used a debulking procedure that was based on tangential trimming of the flap to the level of thickness required for normal foot contour. All patients underwent debulking 3 months after initial LDM flap coverage. The mean duration of follow-up care was 21 months (range, 8 to 32 months). All flaps survived a secondary debulking procedure. One patient developed an ulcer at the weight-bearing area of a sole. All six patients were able to wear regular shoes without difficulty. Copyright © 2011 by Thieme Medical Publishers, Inc.