Microsurgical elimination of foot soft tissue defects with free vascularized flaps

The results of 40 microsurgical transplantations of complex flaps in 37 patients with cicatricial-ulcerous foot deformations are analysed. The surgery was indicated in cicatricial soft tissues defects, unhealing trophic ulcers, inability to use local tissues for plastic surgery. The scapular flap wa...

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Bibliographic Details
Published inHirurgija (Moskva) no. 7; p. 40
Main Authors Moroz, V I, Iudenich, A A, Mikhaílov, I A, Kafarov, T G, Kuntsevich, G I
Format Journal Article
LanguageRussian
Published Russia (Federation) 1997
Subjects
Adolescent
Adult
Aged
Female
Follow-Up Studies
Foot Injuries - surgery
Humans
Male
Microsurgery - methods
Middle Aged
Reoperation
Soft Tissue Injuries - surgery
Surgical Flaps
Time Factors
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Summary:The results of 40 microsurgical transplantations of complex flaps in 37 patients with cicatricial-ulcerous foot deformations are analysed. The surgery was indicated in cicatricial soft tissues defects, unhealing trophic ulcers, inability to use local tissues for plastic surgery. The scapular flap was used in 34 cases, thoraco-dorsal flap in 5 cases, deltoid flap in 1 case. It was necessary to increase the square of the scapular flap in case of a vast cicatricial soft tissue defect of the talocrural joint and dorsal surface of the foot and the sole. A special expander was used for this purpose. The importance of ultrasound methods for evaluation of the vessels supplying the sole, as well as the state of the microvascular anastomoses in postoperative period is stressed. The long-term results were followed up for 1.5 to 5 years in 29 of 37 patients. The good results was noted in 18 patients, satisfactory in 7 patients, complications (unhealed trophic ulcers) in 4 patients. The complications were caused by calcanel tuber deformation with osteophyte, osteomyelitis, inradically removed scars.
ISSN:0023-1207