Archives of Reconstructive Microsurgery
- Volume 11 Issue 2
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- Pages.153-161
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- 2002
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
The Reconstruction of Foot using Medial Plantar Flap
내측 족저 피판을 이용한 족부의 재건
- Chung, Duke-Whan (Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University) ;
- Lee, Jae-Hoon (Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University)
- Published : 2002.10.31
Abstract
Purpose : Plantar surfaces, calcaneal area, and region of Achilles insertion, which are extremely related with weight-bearing area and shoes application, must be reconstructed with glabrous and strong fibrous skin. Numerous methods of reconstructing defects of these regions have been advocated, but the transfer of similar local tissue as a cutaneous flap with preservation of sensory potential would best serve the functional needs of the weight-bearing and non-weight-bearing surfaces of this region. Therefore it is recommended to use the limited skin of medial surface of foot that is similar to plantar region and non-weight-bearing area. In this paper we performed the medial plantar flap transfered as a fasciocutaneous island as one alterative for moderate-sized defects of the plantar forefoot, plantar heel, and area around the ankle in 25 cases and report the result, availability and problem of medial plantar flap. Materials and methods : We performed proximally based medial plantar flap in 22 cases and reverse flow island flap in 3 cases. Average age was