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Chirurgia Del Piede 1999 September;23(3):113-8

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Reconstruction of soft tissues in the post-traumatic foot: part 2

Bruschi S., Fraccalvieri M.

This study is the second part of the introductory article on the post-traumatic reconstruction of soft tissues in the foot. In the first article, after a brief introduction drawing attention to statistical data regarding the involvement of the foot in accidents at work, the authors outlined an anatomoclinical subdivision of the regions of the foot and laid the foundations for the treatment of post-traumatic injuries before turning to surgical reconstruction. They also underlined the importance of close collaboration between the orthopedic surgeon and the plastic surgeon in order to assure maximum functional success in this type of trauma. Attention is now focused on the options for reconstructive surgery facing the plastic surgeon. The basic rule is always to use the simplest method of reconstruction in order to achieve functional success. In order of increasing complexity, the options now available for reconstruction include: primary closure, skin graft, local flap (muscular, myocutaneous or fasciocutaneous), microvascular flap. This concept, which is particularly important in the foot, must not be rigidly applied, above all owing to the functional importance of some areas. After a critical and descriptive analysis of the general characteristics of the various surgical methods, the authors outline the rationale used to select the best form of surgery.