Clinics in Orthopedic Surgery · 2010 · 15 citations · 14 references
MedicinePlastic SurgerySurgeryOncologic SurgeryReconstructive SurgerySoft Tissue SurgeryFlap ReconstructionFlap SurgeryFree Flap ReconstructionLimb Salvage SurgeryLower Extremity ReconstructionSoft Tissue ReconstructionDistal Flap ReconstructionLower Extremity Soft Tissue ReconstructionMalignant Melanoma ExcisionPedicle Soft Tissue FlapReconstruction After Melanoma ExcisionSoft Tissue Defect ReconstructionSoft Tissue Flap ReconstructionWide Excision
BACKGROUND: We report on our experience with using a distally based island flap for soft tissue reconstruction of the foot in limb salvage surgery for malignant melanoma patients. METHODS: A distally based sural flap was used for 10 cases for the hindfoot reconstruction, and a lateral supramalleolar flap was used for 3 cases for the lateral arch reconstruction of the mid- and forefoot after wide excision of malignant melanomas. RESULTS: The length of the flap varied from 7.5 cm to 12 cm (mean, 9.6 cm) and the width varied from 6.5 cm to 12 cm (mean, 8.8 cm). Superficial necrosis developed in four flaps, but this was successfully treated by debridement and suture or a skin graft. All thirteen flaps survived completely and they provided good contour, stable and durable coverage for normal weight bearing. CONCLUSIONS: The distally based sural flap is considered to be useful for reconstructing the hindfoot, and the lateral supramalleolar flap is good for reconstructing the lateral archs of the mid- and forefoot after resection of malignant melanoma of the foot.
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The Distally Based Superficial Sural Artery Flap
Morimasa Hasegawa, Shuhei Torii, Hisakazu Katoh et al. · Plastic & Reconstructive Surgery · 1994 · 318 citations
Medicine, Plastic Surgery, Surgery +10
The Lateral Supramalleolar Flap
A. C. Masquelet, J. Beveridge, C. Romaña et al. · Plastic & Reconstructive Surgery · 1988 · 251 citations