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A Journal on Orthopedics and Traumatology
97° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) - II (Alba, September 22-23, 2000)
Minerva Ortopedica e Traumatologica 2000 October;51(5):287-90
Salvage procedures in severe foot injuries
Ferrero S., Daghino W., Coppolino S., Battiston B.
Severe foot injuries are frequently accompanied by other proximal injuries, particularly lower leg fractures. A severe foot injury is a key factor in determining the overall saving of the leg. Foot reconstruction in these lesions has become possible in these last years thanks to the development of new and successful microsurgical techniques. In emergency reimplantation or revascularization are no more a technical problem, but functional restoration needs precise indications. A personal scoring system which may help the surgeon in emergency decision making is presented. The aim in foot reconstruction is to achieve weight bearing capability and stability of the foot and to induce a normal walking pattern with regular shoes. A plethora of both local and distant flap options exist: the foot is divided into three major areas based on different requirements for reconstruction and the types of flaps available. These areas are: the whole plantar area, the heel area with Achilles tendon insertion, and the dorsal area. The options for reconstruction are presented and discussed in detail