Correction of Post Burn Extension Contracture of 4, 5th Toes Using Free Flap

Choi,  Soo Joong; Jung,  Jae Kyun; Kwon,  Bong Cheol; Lee,  Yong Beom

doi:2013.22.2.90

Arch Hand Microsurg > Volume 22(2); 2013 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2013;22(2):90-93.
Published online November 30, 2013.
DOI: https://doi.org/10.15596/ARMS.2013.22.2.90

Correction of Post Burn Extension Contracture of 4, 5th Toes Using Free Flap

Soo Joong Choi, Jae-Kyun Jung, Bong Cheol Kwon, Yong Beom Lee

Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. csjwillow@yahoo.co.kr

Received: 19 November 2013 • Revised: 27 November 2013 • Accepted: 28 November 2013

Abstract

Old post burn contractures on feet still remain challenging problem for reconstructive surgeon. A 43-year-old male visited Hallym University Sacred Heart Hospital with the complain of foot deformity and difficulties in shoe fitting. His right 4th and 5th toes were inverted at dorsal foot. We released the contracture of 4, 5th metatarsophalangeal joint and lengthened extensor tendon by Z-plasty, and covered the resultant defect with the anterolateral thigh flap. The flap was successful and the deformity was corrected. As there have been few reports on reconstruction of foot dorsum, especially on post burn extension contractures in the toes, we report a rare case of contracture release and coverage by free flap.

Key Words: Postburn contracture, Free tissue flap, Anterolateral thigh flap