Arch Reconstr Microsurg.  2013 Nov;22(2):52-56.

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

Affiliations
  • 1Department of Orthopedic Surgery, Chonbuk National University Medical School, Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea. ns35433@gmail.com
  • 2Department of Orthopedic Surgery, Presbyterian Medical Center, Jeonju, Korea.

Abstract

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 3.6x2.4 cm) 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.

Keyword

Soft tissue defect; Ankle; Pedicled flap

MeSH Terms

Ankle
Arteries
Bandages
Foot*
Heel
Humans
Leg*
Metatarsal Bones
Peroneal Nerve
Sensation
Skin
Surgical Flaps
Survival Rate
Tissue Donors
Transplants
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