Ipsilateral Dorsalis Pedis Vascularized Pedicle Flap in the Distal Leg and Foot

  • Yu, Chang Eun (Department of Orthopedic Surgery, Presbyterian Medical Center) ;
  • Lee, Jun-Mo (Department of Orthopedic Surgery, Chonbuk National University Medical School, Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Choi, Hee-Rack (Department of Orthopedic Surgery, Chonbuk National University Medical School, Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital)
  • 투고 : 2013.11.25
  • 심사 : 2013.11.27
  • 발행 : 2013.11.30

초록

Purpose: We had proceeded seven iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defects and followed-up average for 5 years and 9 months to evaluate the survival rate, neurosensory function and cosmesis in final results. Materials and Methods: From January 1999 through October 2012, we have performed iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defect (average around $3.6{\times}2.4cm$) in 7 cases and average age was 41.6 years (21.5 to 59.0 years). Lesion site was posterior heel in 4 cases, distal anterior leg in 3 cases. Donor structure was the dorsalis pedis artery and the first dorsal metatarsal vessel and deep peroneal nerve in 3 cases and the dorsalis pedis artery and the first dorsal metatarsal vessel in 4 cases. Results: Seven cases (100%) were survived and defect area was healed with continuous dressing without skin graft. The sensory function in the neurovascular flap was restored to normal in 3 cases. Cosmesis was good and fair in 7 cases (85.7%). Conclusion: Ipsilateral dorsalis pedis vascularized pedicle flap in the distal leg and foot is one of the choice to cover the exposed bone and soft tissues without microsurgical procedure.

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