Free tissue transfer for trophic ulcer complicating leprosy
Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients.<sup><b> </sup></b> Various loco-regional flaps have been described for reconstruction of trophic ulcers; however, very large defects are not amenable to lo...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2009-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=115;epage=117;aulast=Bhatt |
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| _version_ | 1849690460625305600 |
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| author | Bhatt Yogesh Panse Nikhil Vyas Kinnari Patel Gunjan |
| author_facet | Bhatt Yogesh Panse Nikhil Vyas Kinnari Patel Gunjan |
| author_sort | Bhatt Yogesh |
| collection | DOAJ |
| description | Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients.<sup><b> </sup></b> Various loco-regional flaps have been described for reconstruction of trophic ulcers; however, very large defects are not amenable to local flaps and free flaps form one of the important treatment options. We present a case of a post Hansen′s trophic ulcer over the forefoot managed using a radial artery forearm free flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial as the recipient vessel and good postoperative compliance in foot care on the part of the patient gave us good results. |
| format | Article |
| id | doaj-art-ebe8f711d41b437abb47b2b16699087b |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-ebe8f711d41b437abb47b2b16699087b2025-08-20T03:21:18ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2009-01-01421115117Free tissue transfer for trophic ulcer complicating leprosyBhatt YogeshPanse NikhilVyas KinnariPatel GunjanPlantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients.<sup><b> </sup></b> Various loco-regional flaps have been described for reconstruction of trophic ulcers; however, very large defects are not amenable to local flaps and free flaps form one of the important treatment options. We present a case of a post Hansen′s trophic ulcer over the forefoot managed using a radial artery forearm free flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial as the recipient vessel and good postoperative compliance in foot care on the part of the patient gave us good results.http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=115;epage=117;aulast=BhattFree flap; Post Hansen′s trophic ulcer; Nonsensate foot |
| spellingShingle | Bhatt Yogesh Panse Nikhil Vyas Kinnari Patel Gunjan Free tissue transfer for trophic ulcer complicating leprosy Indian Journal of Plastic Surgery Free flap; Post Hansen′s trophic ulcer; Nonsensate foot |
| title | Free tissue transfer for trophic ulcer complicating leprosy |
| title_full | Free tissue transfer for trophic ulcer complicating leprosy |
| title_fullStr | Free tissue transfer for trophic ulcer complicating leprosy |
| title_full_unstemmed | Free tissue transfer for trophic ulcer complicating leprosy |
| title_short | Free tissue transfer for trophic ulcer complicating leprosy |
| title_sort | free tissue transfer for trophic ulcer complicating leprosy |
| topic | Free flap; Post Hansen′s trophic ulcer; Nonsensate foot |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=115;epage=117;aulast=Bhatt |
| work_keys_str_mv | AT bhattyogesh freetissuetransferfortrophiculcercomplicatingleprosy AT pansenikhil freetissuetransferfortrophiculcercomplicatingleprosy AT vyaskinnari freetissuetransferfortrophiculcercomplicatingleprosy AT patelgunjan freetissuetransferfortrophiculcercomplicatingleprosy |