Free musculocutaneous and muscle flaps for foot reconstruction: a clinical and gait analysis study

Vikäraitis, S.; Norkus, Tarvilas; Aštrauskas, Tautrimas; Kaikaris, Vygintas; Rimdeika, Rytis; Averkina, Svetlana

doi:10.1007/s002380050227

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…Like other reported series free LD muscle flap has been preferred for reconstruction of extreme part of the body as lower extremity and scalp for its known favorable anatomical features. 5,6 It was the largest muscle of the body (up to 20×40 cm 2 ). So it became the only option when recipient site was complex and extensive.…”

Section: Case Seriesmentioning

confidence: 99%

Durability and versatility of free lattismus dorsi muscle flap in leg defects in tertiary care hospital

Islam¹,

Ahmed

Uddin

et al. 2021

Int Surg J

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Reconstruction of the legs and feet is challenging. Because of the composite tissue defects, inadequate and tight local tissues and poor circulation, soft tissue scarcity around the lower portion of the leg presents a significant challenge to the reconstructive surgeon. The aim of this study was to assess the outcome of free Lattismus dorsi (LD) muscle flap used for soft tissue reconstruction of leg defects. This prospective non-randomized study was conducted on 13 patients with leg defects of different causes attended emergency unit and outpatient clinic of plastic surgery department of plastic surgery and burn unit, Dhaka medical college hospital (DMCH) in the period between July 2017 and June 2018. Durability of coverage, flap success, infection and overall satisfaction were studied. The age distribution of the study population highest number of patients (46.15%) were in middle (31-40 years) age group whereas lowest are in older group (>51 years). Highest number of patients (84.61%) were standard myocutanous type of flap whereas lowest were in (15.31%) were chimeric flap and partial latissimus muscle flap. There were one case of total flap loss. Two patients had seroma formation among them one patient had partial necrosis. The outcome of reconstruction of n=13 patients 76.92% patients discharged with excellent recovery, (15.38%) patients discharged with good outcome, 1 (7.69%) patients had total flap loss. Flap is easy to dissect, anatomical variation is rare, long pedicle length which allow to anastomose with suitable recipient artery and finally donor morbidity is negligible.

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Section: Case Seriesmentioning

confidence: 99%

Durability and versatility of free lattismus dorsi muscle flap in leg defects in tertiary care hospital

Islam¹,

Ahmed

Uddin

et al. 2021

Int Surg J

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“…Nach Abklingen des initialen Ödems konfluiert die auf den Lappen transplantierte Spalthaut und die auftretende Muskelatrophie des denervierten Muskel führt zu einer Schrumpfung und weiter selbstmodellierenden Anpassung. Die statische und dynamische Druckverteilung dieser Lappen ist nahezu vergleichbar mit dem gesunden Fuß [18]. Aus diesem Grunde verwenden wir keine muskulokutanen Lappenplastiken.…”

Section: Diskussionunclassified

“…Freie fasziokutane oder transplantierte Faszienlappen kamen vor allem in Zonen mit geringerer Belastung zum Einsatz.Aufgrund der Instabilität gegenüber Scherkräften und der Laxizität des Gewebes bedingt durch den Fettgewebsanteil zwischen Haut und Faszie halten wir fasziokutane Lappenplastiken in Übereinstimmung mit anderen Autoren in der Vollbelastungszone für wenig geeignet [10,18]. Die Anwendung des Dorsalis-pedis-oder des Radialislappen haben wir aufgrund der deutlichen Spendermorbidität eingeschränkt, obgleich diese am Unterarm durch die Hebung als Faszienlappen vermindert werden kann [15].…”

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Therapiestrategien zur Deckung traumatischer Defekte der Fersenregion

et al. 2001

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Tissue defects of the heel region are a challenging problem. Various reconstructive techniques were performed in 44 patients with 59 defects around the heel region, who were treated between 1994 and 1999 following a traffic accident in 27%, a burn injury in 25%, and other traumatic causes in 48%. Free flap coverage was performed in 20 defects (36%), local flaps were used in 15 patients (27%) and autologous skin transplantation in 21 patients (36%). The overall complication rate was 18% with the highest rate after local flap procedures. A therapeutic strategy was developed, which is based mostly on the localization and extension of the defect area.

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Results of Microvascular Free Flap for Reconstruction of Soft Tissue Defects: Our Early Experience

Biswas

Kalam

Ahmed

et al. 2014

Bangladesh J Plastic Surg

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Extensive soft tissue defects following trauma, burn or after cancer surgery need coverage by flaps. Sometimes surrounding tissues are not healthy enough or quantity is not favorable to provide adequate pedicle flaps. Microvascular free flap can provide healthy tissue of adequate amount from distant area for those difficult situations.15 microvascular free flaps were performed from October 2011 to February 2013. Radial forearm free flap was done in 8 and Latissimusdorsi (LD) flap in 7 cases. 10 flaps done in foot, ankle & lower leg region (radial forearm-5, LD-5) and 5 flaps were done in face and scalp region (radial forearm-4, LD-1).12 flaps healed uneventfully with good coverage of the defect. Average ischemia time was 135 min (range 100-240 min) and average anastomosis time was 75 min (average 60-100 min). 2 flaps failed. There was necrosis of the tip of 2 LD and cumbersome swelling of the flap was found in 2 cases of LD flaps.Large soft tissue defect of body where local or regional flaps are not feasible; can be easily covered with free flaps. Its capacity to cover huge soft tissue defect has neutralizes its technical demand. Though complications are still high in our hands; can be reduced performing more number of cases. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18242 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 33-37

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Free musculocutaneous and muscle flaps for foot reconstruction: a clinical and gait analysis study

Cited by 3 publications

References 24 publications

Durability and versatility of free lattismus dorsi muscle flap in leg defects in tertiary care hospital

Durability and versatility of free lattismus dorsi muscle flap in leg defects in tertiary care hospital

Therapiestrategien zur Deckung traumatischer Defekte der Fersenregion

Results of Microvascular Free Flap for Reconstruction of Soft Tissue Defects: Our Early Experience

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