Ein Behandlungsalgorithmus zur Weichteilrekonstruktion am Fuß und Sprunggelenk unter Berücksichtigung anatomischer und biomechanischer Gesichtspunkte

Haug, Martin; Valderrábano, Víctor; Rieger, U. M.; Pierer, Gerhard; Schaefer, Dirk J.

doi:10.1055/s-2008-1039186

Cited by 9 publications

(1 citation statement)

References 23 publications

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“…The necessity to reinnervate the transplanted tissue is still a subject of debate [ 9 , 44 , 46 , 47 , 48 ]. The objective is to reestablish sensory perception and, thereby, protect the flap from damage due to unnoticed overuse or pressure points.…”

Section: Discussionmentioning

confidence: 99%

Microvascular Muscle vs. Fascio-Cutaneous Free Flaps for Reconstruction of Plantar Load-Bearing Foot Defects—An International Survey

Mert,

Heidekrueger,

Fuchs

et al. 2024

JCM

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Background: The reconstruction of plantar load-bearing foot defects faces many plastic surgeons with a major challenge. The optimal patient- and defect-oriented reconstructive strategy must be selected. Methods: To analyze the current trends and recommendations in reconstruction of plantar load-bearing foot defects, we conducted an international survey among plastic surgeons querying them about their recommendations and experiences. Results: The survey revealed that the most common strategies for reconstruction of the foot sole are locoregional and microvascular free flaps, emphasizing the relevance of plastic surgery. Among microvascular free flaps, muscle and fascio-cutaneous free flaps are by far the most frequently used. The target qualities of the reconstructed tissue to be considered are manifold, with adherence being the most frequently mentioned. We observed a noteworthy correlation between the utilization of muscle flaps and a preference for adherence. In addition, we identified a substantial correlation between the usage of fascio-cutaneous free flaps and further target qualities, such as good skin quality and sensitivity. Conclusions: Our findings provide insights into the clinical reality and highlight important aspects that must be considered in reconstruction of the weight-bearing areas of the foot providing support in the selection of the appropriate therapy.

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