Proximally Based Split Abductor Hallucis Turnover Flap for Medial Hindfoot Reconstruction: A Case Report
| Autor: | Candice Thompson, Manas Nigam, Crystal Gunsch, Karen K. Evans, Christopher E. Attinger, Jessica S. Wang |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Heel Adolescent Free Tissue Flaps Pes planus 03 medical and health sciences 0302 clinical medicine Humans Medicine Orthopedics and Sports Medicine Surgical Flaps Muscle Skeletal Needlestick Injuries Foot Ulcer 030203 arthritis & rheumatology 030222 orthopedics biology business.industry Osteomyelitis Soft tissue Abductor hallucis Plastic Surgery Procedures biology.organism_classification medicine.disease Magnetic Resonance Imaging Surgery Radiography body regions Valgus medicine.anatomical_structure Female Ankle business |
| Zdroj: | The Journal of Foot and Ankle Surgery. 58:1072-1076 |
| ISSN: | 1067-2516 |
| Popis: | Limited reconstructive options exist for soft tissue defects of the foot and ankle because of a lack of surrounding tissue. Although microsurgical free flaps have become a popular treatment modality for this anatomic region, pedicled muscle flaps can provide robust coverage of small foot wounds with significantly less donor site comorbidity. One such muscle is the abductor hallucis, which can be used as a proximally based turnover flap to cover medial hindfoot defects. However, complete distal disinsertion of the muscle may lead to loss of support over the medial arch and first metatarsophalangeal joint, leading to pes planus and hallux valgus. In this case report, we describe a modified technique of a split abductor hallucis turnover flap for a young patient with a chronic, traumatic medial heel wound complicated by calcaneal osteomyelitis. By preserving part of the muscle's distal tendinous attachment, this technique allows for adequate soft tissue coverage while maintaining long-term biomechanical function. |
| Databáze: | OpenAIRE |
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