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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2003 March;27(1):1
Pedicle flaps for replacement of soft tissue defects of the foot
Jolly G. P., Zgonis T.
Background. Soft tissue defects of the foot and ankle are a common entity and a challenge to most foot and ankle surgeons. Local, distant and free tissue transfers have been described to cover difficult areas on the plantar surface of the foot. The authors present an introduction to the functional anatomy of the soft tissues of the foot and describe their unique physical properties.
Methods. In addition, they report on 22 patients with full thickness soft-tissue defects, treated with pedicled flaps developed from the foot and lower leg. Fifteen flaps were harvested from the toes, 5 from the instep and 5 from the posterior calf.
Results. Of 4 flap failures, 2 were based on digital arteries, 1 was based on the medial plantar artery and 1 on a sural artery. All but 1 of the failed flaps were salvaged.
Conclusions. The physical properties of the transferred tissue within the flaps was quite similar to the tissue on the weight bearing and marginal areas of the foot, and provide a durable and functional alternative to a chronic ulcer or an unstable scar.