Coverage of defects over toes with distally based local flaps: A report of four cases

reconstruction of the distal foot, especially of the toe has always been a challenging problem. various methods have been tried with variable success rates and limitations. presented here is a series of four cases, where distally based flaps were used. two of them were extensor digitorum brevis (edb...

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Main Authors: Ashok Raj Koul, Rahul K. Patil, Vinoth Kumar Philip
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2008-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699230
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author Ashok Raj Koul
Rahul K. Patil
Vinoth Kumar Philip
author_facet Ashok Raj Koul
Rahul K. Patil
Vinoth Kumar Philip
author_sort Ashok Raj Koul
collection DOAJ
description reconstruction of the distal foot, especially of the toe has always been a challenging problem. various methods have been tried with variable success rates and limitations. presented here is a series of four cases, where distally based flaps were used. two of them were extensor digitorum brevis (edb) muscle flaps and the other two were first dorsal metatarsal artery (fdma) based skin flaps. one in each of the two was augmented with a plantar v-y advancement flap. all flaps survived completely without any flap- or donor site-related complications. the patients were ambulated two weeks following the reconstruction and were symptom-free after an average follow-up of thirteen months. distal flaps based on the dorsalis pedis system provide a reliable cover for distal foot defects.
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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series Indian Journal of Plastic Surgery
spelling doaj-art-36ecc1770dfc41c8bdadbb7173fb6aa32025-08-20T03:18:45ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2008-01-014101626610.1055/s-0039-1699230Coverage of defects over toes with distally based local flaps: A report of four casesAshok Raj Koul0Rahul K. Patil1Vinoth Kumar Philip2Department of Plastic and Reconstructive Surgery, Medical Trust Hospital, Cochin - 682 016, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Medical Trust Hospital, Cochin - 682 016, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Medical Trust Hospital, Cochin - 682 016, Kerala, Indiareconstruction of the distal foot, especially of the toe has always been a challenging problem. various methods have been tried with variable success rates and limitations. presented here is a series of four cases, where distally based flaps were used. two of them were extensor digitorum brevis (edb) muscle flaps and the other two were first dorsal metatarsal artery (fdma) based skin flaps. one in each of the two was augmented with a plantar v-y advancement flap. all flaps survived completely without any flap- or donor site-related complications. the patients were ambulated two weeks following the reconstruction and were symptom-free after an average follow-up of thirteen months. distal flaps based on the dorsalis pedis system provide a reliable cover for distal foot defects.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699230distal foot defectsdistally based flapstoe defects
spellingShingle Ashok Raj Koul
Rahul K. Patil
Vinoth Kumar Philip
Coverage of defects over toes with distally based local flaps: A report of four cases
Indian Journal of Plastic Surgery
distal foot defects
distally based flaps
toe defects
title Coverage of defects over toes with distally based local flaps: A report of four cases
title_full Coverage of defects over toes with distally based local flaps: A report of four cases
title_fullStr Coverage of defects over toes with distally based local flaps: A report of four cases
title_full_unstemmed Coverage of defects over toes with distally based local flaps: A report of four cases
title_short Coverage of defects over toes with distally based local flaps: A report of four cases
title_sort coverage of defects over toes with distally based local flaps a report of four cases
topic distal foot defects
distally based flaps
toe defects
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699230
work_keys_str_mv AT ashokrajkoul coverageofdefectsovertoeswithdistallybasedlocalflapsareportoffourcases
AT rahulkpatil coverageofdefectsovertoeswithdistallybasedlocalflapsareportoffourcases
AT vinothkumarphilip coverageofdefectsovertoeswithdistallybasedlocalflapsareportoffourcases