Premium
Reconstruction of foot defects due to mine explosion using muscle flaps
Author(s) -
Selmanpakoglu Naki,
Güler Mümtaz,
Sengezer Mustafa,
Türegün Murat,
Isik Selçuk,
Demirogullari Muharrem
Publication year - 1998
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/(sici)1098-2752(1998)18:3<182::aid-micr11>3.0.co;2-u
Subject(s) - medicine , surgery , soft tissue , foot (prosody) , free flap , ambulatory , philosophy , linguistics
Landmine explosions bring a formidable challenge to both patients and reconstructive surgeons. Free tissue transfer is the only method of repairing such extensive soft tissue defects of the foot after serial debridements. Sixty‐five consecutive free muscle flap transfers were performed in 54 patients who had foot defects involving soft tissue and bone due to mine explosions. Although posttraumatic vessel disease had complicated most of the cases, overall flap survival rate was 83%. Each patient was ambulatory. Ulceration in long‐term period was seen in only one patient. Eighty‐five percent of patients with successful bone reconstruction and 41.6% of patients without adequate bone replacement demonstrated normal weightbearing in footprints and gait analysis. Free muscle flaps with split thickness skin graft and bone replacement are recommended for the reconstruction of such devastating wounds. © 1998 Wiley‐Liss, Inc. MICROSURGERY 18:182–188 1998