Closure of the second toe transfer donor site without disruption of the deep transverse metatarsal ligament | Zendy

Webster Howard R. | Zendy; Inglefield Christopher J. | Zendy

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Closure of the second toe transfer donor site without disruption of the deep transverse metatarsal ligament

Author(s) -

Webster Howard R.,

Inglefield Christopher J.

Publication year - 1994

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/micr.1920151110

Subject(s) - medicine , surgery , closure (psychology) , anatomy , transverse plane , metatarsal bones , foot (prosody) , second toe , wound closure , wound healing , linguistics , philosophy , economics , market economy

The second metatarsal is routinely excised to facilitate closure of the defect created by the harvest of a second toe transfer. However, if the deep transverse metatarsal ligament is not disrupted by the harvest, it seems unnecessarily destructive to remove the metatarsal. A small arterialized venous flap provides a logical solution to the problem of wound closure in this circumstance. This paper describes such a reconstruction, discusses the reasons for its selection and the long term outcome, which has been very satisfactory. © 1994 Wiley‐Liss, Inc.

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