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Titolo:
Free flap reconstruction of the foot
Autore:
Rainer, C; Schwabegger, AH; Bauer, T; Ninkovic, M; Klestil, T; Harpf, C; Ninkovic, MM;
Indirizzi:
Innsbrucktruct, Klin Plast & Wiederhersteilungschirurg, Dept Plast & Recons Innsbruck Univ Innsbruck Austria A-6020 ungschirurg, Dept Plast & Recons Innsbruckianiv, Dept Surg, Unit Phys Med & Rehabil, A-6020 Innsbruck, Austr Innsbruck Univ Innsbruck Austria A-6020 Rehabil, A-6020 Innsbruck, Austr Innsbruck Univ, Dept Traumatol, A-6020 Innsbruck, Austria Innsbruck Univ Innsbruck Austria A-6020 matol, A-6020 Innsbruck, Austria
Titolo Testata:
ANNALS OF PLASTIC SURGERY
fascicolo: 6, volume: 42, anno: 1999,
pagine: 595 - 606
SICI:
0148-7043(199906)42:6<595:FFROTF>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
TERM FOLLOW-UP; SCAPULAR FLAP; GAIT ANALYSIS; MUSCLE FLAPS; DEFECTS; INJURIES; ISLAND; SOLE; HEEL; EXTREMITIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Rainer, C Innsbrucktruct, Klin Plast & Wiederhersteilungschirurg, Dept Plast & Recons Innsbruck Univ Anichstr 35 Innsbruck Austria A-6020 st & Recons
Citazione:
C. Rainer et al., "Free flap reconstruction of the foot", ANN PL SURG, 42(6), 1999, pp. 595-606

Abstract

Free flap reconstruction of the foot has been widely performed in the last20 years, but choice of a free transferred substitute for the soft tissue of the particular defect remains controversial. The authors present a series of 77 free flaps to the foot performed in 68 patients during October 1976and September 1997. Longterm follow-up ranged from 12 months to 18 years (median, 44.4 months), Seventy-three flaps were transferred successfully (95%). The indications for a specific flap depended on the localization and extension of the foot defect. In weight-bearing areas the authors favored theuse of a muscle flap covered with a split-thickness skin graft; the latissimus dorsi muscle was used primarily, This study shows a lower ulceration rate in muscle flaps covered with split-thickness skin grafts than in fasciocutaneous flaps in weight-bearing areas (27% vs, 60%). In nonweight-bearingareas, fasciocutaneous flaps were the best choice, In this series, the lateral arm flap was applied most often. The authors recommend free fascial flaps (serratus fascial flap or radial forearm fascial flap) covered by split- or full-thickness skin grafts for coverage of the malleolar region as well as coverage of exposed tendons of nonweight-bearing regions. Proper tailoring of the flap and postoperative care are very important to maintain a result without ulceration, as is avoiding having the suture line cross a weight-bearing area. Tactile sensation does not seem to be essential.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:29:46