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Arch Hand Microsurg > Volume 22(2); 2013 > Article
Journal of the Korean Society for Surgery of the Hand 2013;22(2):52-56.
Published online November 30, 2013.
DOI: https://doi.org/10.15596/ARMS.2013.22.2.52   
Ipsilateral Dorsalis Pedis Vascularized Pedicle Flap in the Distal Leg and Foot
Chang Eun Yu<sup>*</sup>, Jun-Mo Lee, Hee-Rack Choi
1Department of Orthopedic Surgery, Chonbuk National University Medical School, Chonbuk National University and Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea. ns35433@gmail.com
2Department of Orthopedic Surgery, Presbyterian Medical Center, Jeonju, Korea.
Received: 25 November 2013   • Revised: 27 November 2013   • Accepted: 27 November 2013
Abstract

Purpose: We had proceeded seven iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defects and followed-up average for 5 years and 9 months to evaluate the survival rate, neurosensory function and cosmesis in final results.

Materials and Methods: From January 1999 through October 2012, we have performed iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defect (average around 3.6×2.4 cm) in 7 cases and average age was 41.6 years (21.5 to 59.0 years). Lesion site was posterior heel in 4 cases, distal anterior leg in 3 cases. Donor structure was the dorsalis pedis artery and the first dorsal metatarsal vessel and deep peroneal nerve in 3 cases and the dorsalis pedis artery and the first dorsal metatarsal vessel in 4 cases.

Results: Seven cases (100%) were survived and defect area was healed with continuous dressing without skin graft. The sensory function in the neurovascular flap was restored to normal in 3 cases. Cosmesis was good and fair in 7 cases (85.7%).

Conclusion: Ipsilateral dorsalis pedis vascularized pedicle flap in the distal leg and foot is one of the choice to cover the exposed bone and soft tissues without microsurgical procedure.

Key Words: Soft tissue defect, Ankle, Pedicled flap
 
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