Arch Reconstr Microsurg.  2013 Nov;22(2):90-93.

Correction of Post Burn Extension Contracture of 4, 5th Toes Using Free Flap

Affiliations
  • 1Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. csjwillow@yahoo.co.kr

Abstract

Old post burn contractures on feet still remain challenging problem for reconstructive surgeon. A 43-year-old male visited Hallym University Sacred Heart Hospital with the complain of foot deformity and difficulties in shoe fitting. His right 4th and 5th toes were inverted at dorsal foot. We released the contracture of 4, 5th metatarsophalangeal joint and lengthened extensor tendon by Z-plasty, and covered the resultant defect with the anterolateral thigh flap. The flap was successful and the deformity was corrected. As there have been few reports on reconstruction of foot dorsum, especially on post burn extension contractures in the toes, we report a rare case of contracture release and coverage by free flap.

Keyword

Postburn contracture; Free tissue flap; Anterolateral thigh flap

MeSH Terms

Adult
Burns*
Congenital Abnormalities
Contracture*
Foot
Foot Deformities
Free Tissue Flaps*
Heart
Humans
Male
Metatarsophalangeal Joint
Shoes
Tendons
Thigh
Toes*
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