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Change of weight‐bearing pattern before and after plantar reconstruction with free anterolateral thigh flap
Author(s) -
Sekido Mitsuru,
Yamamoto Yuhei,
Furukawa Hiroshi,
Sugihara Tsuneki
Publication year - 2004
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.20022
Subject(s) - medicine , weight bearing , free flap , thigh , foot (prosody) , plantar flexion , surgery , anatomy , plantar pressure , pressure sensor , ankle , linguistics , philosophy , physics , thermodynamics
We reconstructed a large‐sized defect at the weight‐bearing plantar region by a free anterolateral thigh flap successfully. This is the first case report of using the anterolateral thigh flap for reconstruction of the plantar foot. Based on the preoperative and postoperative pedogram examinations, the pressure distribution on the weight‐bearing area reconstructed by the transferred flap was obviously improved and demonstrated a nearly normal pattern. No previous report has compared the weight‐bearing pattern before and after large plantar reconstruction with a free flap. The anterolateral thigh free flap, which provides adequate bulk and contour of the foot, and which withstands weight pressure and shearing force and has the ability to provide recovery of sensation, is considered a good alternative in covering a large weight‐bearing plantar defect. © 2004 Wiley‐Liss, Inc.