Experience With the Extensor Digitorum Brevis Muscle Flap for Foot and Ankle Reconstruction

Chattar‐Cora, Deowall; Pederson, William C.

doi:10.1097/01.sap.0000221616.05768.88

Cited by 26 publications

(16 citation statements)

References 22 publications

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“…The extensor digitorum muscle flap has minimal morbidity, is easy to elevate, does not require microsurgical skills, and can be performed with low risk of damaging the structures around it. The extensor digitorum muscle flap should be considered in patients for the cover of soft tissue defects at the foot and ankle region (Chattar-Cora and Pederson, 2006).…”

Section: Discussionmentioning

confidence: 99%

Relationship between the deep peroneal nerve and dorsalis pedis artery in the foot: A cadaveric study

et al. 2008

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The aim of our work was to study the relationship between deep peroneal nerve (DPN) and dorsalis pedis artery (DPA) so that the frequency of these variations can be kept in mind by the angiographers and surgeons to ensure safe surgical approach during flap surgery. Ninety-two legs in 46 cadavers were dissected to study the relationship between DPN and DPA on the dorsum of the foot. The relationship of neurovascular bundle of the dorsum of the foot was classified into four types. Type I: division of the DPN distal to the midpoint between the two malleoli (observed in 26 limbs). In Type II, the division of the DPN was midway between the two malleoli (seen in 20 limbs). Both Type I and II are further divided into two subtypes (a and b) depending upon the crossing pattern of terminal branches of the DPN over DPA. In Type III, multiple branches of DPN were noted in two limbs. In Type IV, the looping pattern of DPN around the DPA was considered and was seen in eight limbs. Awareness of possible variations in the relationship of the DPA to DPN on the dorsum of the foot is important for vascular and reconstructive surgeons. Because it might help in decreasing confusion when considering treatment options like microvascular anastomosis in reconstruction of the leg.

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Section: Discussionmentioning

confidence: 99%

Relationship between the deep peroneal nerve and dorsalis pedis artery in the foot: A cadaveric study

et al. 2008

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“…From its description, few reports have been published in the literature 11 - 16 and only in 2003, Martinet et al ., 17 Chattar-Cora and Pederson 18 and Chateau et al 19 . published a significant number of cases, with respectively 15, 20 and 52 patients operated on this technique and with good results.…”

Section: Introductionmentioning

confidence: 95%

Extensor digitorum brevis flap on the treatment of lower limb injuries

et al. 2014

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OBJECTIVE: To describe our pioneer national experience with 11 patients with soft tissue defects in the distal 1/3 of the leg, ankle and forefoot treated with extensor digitorum brevis muscle flap (EDB). METHODS: Between November 2009 and July 2012 11 patients were operated with the flap technique. We operated nine men and two women aged between 10 and 66 years. The surgical indications were acute trauma in four patients and post-traumatic osteomyelitis in seven patients. The small defects were covered ranging from 3x3 to 6x3 cm. The patch was applied with proximal stalk in most cases. RESULTS: Complete healing and infectious cure were obtained in all cases, despite one loss. CONCLUSION: The EDB flap is a feasible and safe technique to repair foot, ankle and distal leg losses. Suffering, dehiscence and delayed healing of the EDB end flap donor area may, however, occur. L-shaped incisions should be avoided for muscle lifting. Level of Evidence IV, Case series.

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“…56,57 Local muscle flaps are useful when the soft tissue defect is in a weight-bearing portion of the foot, when highly vascularized muscle tissue would be beneficial in the recipient site, or when more durable soft tissue coverage is needed. The FDB flap is supplied by muscular branches of the lateral and medial plantar arteries and can be a very successful coverage option for lateral or midfoot ulcerations resulting from Charcot collapse, as long as the muscle belly has not been compromised by previous soft tissue infection or debridement.…”

Section: The Diabetic Foot Soft Tissue Reconstructive Pyramid and Litmentioning

confidence: 99%

Soft Tissue Reconstruction Pyramid in the Diabetic Foot

Capobianco

Stapleton

Zgonis

2010

Foot & Ankle Specialist

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Foot complications and ulceration are well-known sequelae to uncontrolled diabetes. Patients with chronic foot ulcers or wounds resulting from surgical debridement of deep-space infections are at continued risk for development of osteomyelitis and potential amputation. Moreover, these wounds often necessitate multiple outpatient clinic visits, daily dressing care, and prolonged periods of non-weight bearing, all of which have been shown to adversely affect the patient's quality of life. After a prudent period of wound-healing response, the authors believe that early and aggressive soft tissue reconstruction is in the patient's best interest and is crucial for resolution of the chronic nonhealing wound. The options for soft tissue coverage and the logical progression of application of these techniques in the diabetic foot will be described.

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Experience With the Extensor Digitorum Brevis Muscle Flap for Foot and Ankle Reconstruction

Cited by 26 publications

References 22 publications

Relationship between the deep peroneal nerve and dorsalis pedis artery in the foot: A cadaveric study

Relationship between the deep peroneal nerve and dorsalis pedis artery in the foot: A cadaveric study

Extensor digitorum brevis flap on the treatment of lower limb injuries

Soft Tissue Reconstruction Pyramid in the Diabetic Foot

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