Resurfacing weight bearing areas of the heel. The role of the dorsalis pedis innervated free tissue transfer.

Abstract:

:Five cases of chronic ulceration following skin graft resurfacing of the weight bearing surface of the heel are presented. All were managed with debridement and coverage with a free innervated dorsalis pedis tissue transfer. The technical refinements that have contributed to the reliability of the flap include careful distal identification of the first dorsal metatarsal artery (FDMA) and division of the dorsalis pedis artery (DPA) under direct vision below the takeoff of the FDMA. Donor site morbidity has been minimized by taking care to preserve the extensor paratenon as a bed for the subsequent skin graft and by immobilization of the donor foot with plaster and bed rest for 10 days. Four of the patients were followed for 2, 4, 4, and 6 years; one was lost to follow-up. All were active with protective sensation in their flaps. No instances of flap breakdown and no significant donor site morbidity were noted. The dorsalis pedis innervated free tissue transfer is recommended as a reliable procedure for resurfacing weight bearing areas of the foot when simpler methods have failed.

journal_name

J Reconstr Microsurg

authors

Duncan MJ,Zuker RM,Manktelow RT

doi

10.1055/s-2007-1007075

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

201-8

issue

3

eissn

0743-684X

issn

1098-8947

journal_volume

1

pub_type

杂志文章
  • Acellular human dermal matrix as a small vessel substitute.

    abstract::In both vascular and microvascular surgery, there is a need for a non-thrombogenic, small-caliber, arterial substitute. Clinically, most vessel substitutes with diameters under 4 mm have low patency rates. An arterial conduit made from a biocompatible human acellular dermis may be useful as a small vessel conduit. The...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006491

    authors: Inoue Y,Anthony JP,Lleon P,Young DM

    更新日期:1996-07-01 00:00:00

  • Modified chimeric radial collateral artery perforator flap for repairing hand composite defects.

    abstract:BACKGROUND:The authors presented their clinical experience and demonstrated surgical methods for reconstructing complex bone and soft tissue defects of the hand by using modified chimeric radial collateral artery perforator flaps. METHODS:Surgical procedures that employed 16 modified chimeric radial collateral artery ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0034-1390324

    authors: Liu J,Song D,Wu S,Li J,Deng X,Li K,Lv H,Xu J

    更新日期:2015-03-01 00:00:00

  • Flap monitoring by transcutaneous PO2 and PCO2: importance of transcutaneous PCO2 in determining follow-up treatment for compromised free flaps.

    abstract::The authors conducted a two-part study to determine whether transcutaneous oxygen pressure (TcPO (2)) and transcutaneous carbon dioxide pressure (TcPCO (2)) can be used to monitor flap viability after transplantation. The first part was an animal study in which TcPO (2) and TcPCO (2) were measured in 10 epigastric isl...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-985208

    authors: Hashimoto I,Nakanishi H,Takiwaki H,Takase MT,Yamano M,Sedo H

    更新日期:2007-07-01 00:00:00

  • Microsurgical facial reconstruction of a xeroderma pigmentosum patient after skin tumor resection: case report.

    abstract::Microsurgical reconstruction of the face completely destroyed after malignant skin tumor excisions in a xeroderma pigmentosum patient is reported. The patient's left cheek was reconstructed using a free latissimus dorsi flap and the nose using a free forearm flap with a base of iliac bone graft. There has been no recu...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006812

    authors: Akizuki T,Harii K

    更新日期:1990-04-01 00:00:00

  • The influence of magnitude and duration of crush load on functional recovery of the peripheral nerve.

    abstract::This study investigated the effect of crush duration at different loads on motor functional recovery. One hundred and thirty-eight rats were divided into five groups: sham operation, resected sciatic nerve, and 100 g, 500 g, and 15,000 g of sciatic crush load (Groups 1 to 5). According to crush duration, Groups 3 and ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006671

    authors: Chen LE,Seaber AV,Urbaniak JR

    更新日期:1993-07-01 00:00:00

  • Z-plasty and microvascular anastomosis.

    abstract::An experimental study in rats was designed to determine the effects of z-plasty on the patency of microvascular anastomosis. Eighty Sprague-Dawley rats of mixed sex were divided into two groups. In all animals, the left carotid arteries were used. In the first group (n = 40), a single z-plasty was done at the anterior...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000153

    authors: Yildirim AM,Güzel MZ,Yücel A,Aygit AC

    更新日期:1998-02-01 00:00:00

  • Rat ear transplantation: a feasibility study.

    abstract::The feasibility of rat ear replantation and its inherent advantages as an experimental model have previously been demonstrated. The purpose of this study was to validate the technical feasibility of rat ear transplantation. To eliminate immunologic rejection as a complicating factor, highly inbred Lewis rats (strain L...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006636

    authors: Chiu DT,Ascherman JA,Patsis MC

    更新日期:1993-01-01 00:00:00

  • A new experimental flap design: the saphenous artery periosto-fasciocutaneous flap of the rat.

    abstract::Vascularized periosteal graft is a frequently applied flap model for bone prefabrication studies due to its inhabitance of osteoprogenitor cells and osteoinductive potential. Various bones such as rib and fibula are reported as a potential source for the harvest of the periosteal flap in experimental studies on higher...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1301068

    authors: Bayramiçli M,Ersoy B,Sirinoğlu H

    更新日期:2012-03-01 00:00:00

  • Evaluation of a novel reverse thermosensitive polymer for use in microvascular surgery.

    abstract::Microvascular clamps have several potential shortcomings, including the risk of vessel injury. LeGoo, a novel reverse thermosensitive polymer (Pluromed Inc., Woburn, MA), is investigated as a substitute to vascular clamping in a microsurgical model and the technical details are described. Femoral vessels of Sprague Da...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0028-1104556

    authors: Manchio JV,Litchfield CR,Zeheb R,Bryan DJ

    更新日期:2009-01-01 00:00:00

  • A simple method of controlling rotation in replanted digits.

    abstract::A method of fixation for replanted digits is described. It consists of axial fixation with a wire passed longitudinally through the replanted digit, supplemented with a transverse wire passed across all the digits. In this way, splinting is provided and rotation is controlled. The method is simple, rapidly applied, an...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007067

    authors: Vlastou C,Earle AS

    更新日期:1984-10-01 00:00:00

  • Designing the anterolateral thigh flap without preoperative Doppler or imaging.

    abstract::The anterolateral thigh (ALT) flap is now considered a workhorse for head and neck reconstruction in many centers. However, designing and raising the ALT flap has been traditionally recognized as being difficult, tedious, and technically demanding due to its variation in perforator anatomy. Designing the ALT flap on d...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1234023

    authors: Lin SJ,Rabie A,Yu P

    更新日期:2010-01-01 00:00:00

  • The clinical reliability of vein grafts in free-flap transfer.

    abstract::The use of interposition vein grafts has been associated in the literature with a high complication and flap failure rate. Ninety-three vein grafts in 55 patients over a 46-month period were analyzed to evaluate the clinical reliability of vein grafts in a predominantly trauma patient population (37/55). Fifty-two art...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006446

    authors: Germann G,Steinau HU

    更新日期:1996-01-01 00:00:00

  • Epidural anesthesia during lower extremity free tissue transfer.

    abstract::A continuous epidural bupivacaine infusion was used for anesthesia in 20 patients who underwent lower extremity free tissue transfer. In 60 percent of the patients, general anesthesia supplementation with nitrous oxide was used for comfort during prolonged lying on the operating table. In all cases, this technique pro...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006939

    authors: Strecker WB,Wood MB,Wedel DJ

    更新日期:1988-07-01 00:00:00

  • Chemotactic arrangement of axons inside and distal to a venous graft.

    abstract::Experiments in rats, introducing the proximal and distal stumps of tibial and sural nerves into a vein graft, showed by acetylcholinesterase and toluidine blue staining that sensory and motor fibers mix inside the vein graft, but that nevertheless they are able to select their distal targets correctly. The authors' hy...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006969

    authors: Brunelli G,Fontana G,Jager C,Bartolaminelli P,Franchini A

    更新日期:1987-01-01 00:00:00

  • Free compound rib-latissimus dorsi osteomusculocutaneous flap in reconstruction of the leg.

    abstract::The use of a free compound rib-latissimus dorsi osteomusculocutaneous flap is described, for reconstruction of the tibia and soft tissue of the leg. The entire flap depends on the thoracodorsal artery for its blood supply. Dye injection studies of the artery demonstrated continuity between it and the intercostal arter...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007032

    authors: Maruyama Y,Onishi K,Iwahira Y,Okajima Y,Motegi M

    更新日期:1986-10-01 00:00:00

  • The Role of Cadaver-Based Flap Course in Microsurgical Education and Practice Patterns of Attendees: A Survey Study.

    abstract:BACKGROUND: In 2017, our institution initiated a cadaver laboratory-based course dedicated to teaching reconstructive microsurgery indications, preoperative planning, and flap dissection. The goals of this study are to describe the demographics and experience of participants/instructors and to evaluate the learning obj...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1716320

    authors: Azoury SC,Othman S,Colen DL,Broach RB,Lin I,Zenn MR,Kovach SJ,Levin LS

    更新日期:2021-02-01 00:00:00

  • Microvascular reconstruction of a devascularized ileal segment during ileo-anal anastomosis.

    abstract::Endorectal ileo-anal anastomosis has become a mainstay of continent bowel reconstruction after total colectomy. However, the procedure is often aborted because of lack of vessel length for the formation of the ileal pouch. The use of microsurgical techniques to lengthen mesenteric vessels and to allow completion of th...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006944

    authors: Chick LR,Brown RE,Walton RL

    更新日期:1988-10-01 00:00:00

  • Patellar tendon reconstruction using a free latissimus dorsi flap following resection of a prepatellar myxofibrosarcoma: case report.

    abstract::The authors' experience indicates that good functional results are achievable in cases with wide resection of the knee extensor mechanism. They report a low-grade myxoid fibrosarcoma patient in whom a one-stage functional reconstruction was carried out by transfer of a free latissimus dorsi flap without secondary surg...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2005-871749

    authors: Machens HG,Siemers F,Kaun M,Krapohl B,Reichert B,Russlies M,Krüger S,Stöckelhuber B,Mailänder P

    更新日期:2005-05-01 00:00:00

  • Occasions for multiple flaps in lower-limb reconstructions: once is sometimes not enough.

    abstract::A retrospective review of 11 patients with complex and massive lower-limb defects requiring multiple transfers and/or regional muscle flaps for closure, found that microvascular transfers achieved final wound closure, either alone or in concert with local flaps, in all but one case. A local flap alone was not sufficie...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000160

    authors: Isenberg JS

    更新日期:1998-04-01 00:00:00

  • A case of replantation of a completely amputated digit after 26 hours of warm ischemia.

    abstract::A seven-year-old-boy received a digit replantation after 26 hours of warm ischemia and showed good recovery of motor and sensory functions. In the case reported, replantation was performed after a much longer ischemic time than had been considered an indication for the procedure in previous reports. Successful replant...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006977

    authors: Seo T,Matsuda M

    更新日期:1987-01-01 00:00:00

  • Anatomical and technical tips for use of the superficial inferior epigastric artery (SIEA) flap in breast reconstructive surgery.

    abstract::Techniques for autologous breast reconstruction have evolved to minimize donor-site morbidity and reduce flap-specific complications. When available, the superficial inferior epigastric artery (SIEA) flap represents the optimal method to achieve the former. However, many microsurgeons have been reluctant to adopt this...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1249604

    authors: Dorafshar AH,Januszyk M,Song DH

    更新日期:2010-08-01 00:00:00

  • The emerging role of the direct cutaneous muscle perforator found arising from the muscle vessel hilum.

    abstract::Perforator flaps based on either musculocutaneous or septocutaneous perforators are no longer a curiosity, but rather in the past decade have become "workhorse" soft tissue alternatives. Yet a keener understanding of their anatomy abetted by sophisticated imaging techniques has revealed other deep fascia perforators w...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1315777

    authors: Hallock GG

    更新日期:2012-10-01 00:00:00

  • Mild intraoperative hypothermia reduces free tissue transfer thrombosis.

    abstract::Patients undergoing free tissue transfer are particularly susceptible to hypothermia. The goal was to investigate the impact of intraoperative core body temperature on free flap thrombosis. Two hundred twelve cases of free flap reconstruction at Yale-New Haven Hospital between 1992 and 2008 were reviewed. Free flap th...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1268211

    authors: Liu YJ,Hirsch BP,Shah AA,Reid MA,Thomson JG

    更新日期:2011-02-01 00:00:00

  • Free vascularized fibular graft vs. Ilizarov method for post-traumatic tibial bone defect.

    abstract::From 1991 to 1996, four free vascularized fibular grafts (FVFG) and four callus distraction (CD) techniques were performed for post-traumatic tibial defects at the authors' institute. They attempted to discern any differences of results between FVFGs and CDs for post-traumatic tibial defects. The mean defect length of...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2001-12684

    authors: Yokoyama K,Itoman M,Nakamura K,Tsukamoto T,Saita Y,Aoki S

    更新日期:2001-01-01 00:00:00

  • Outcomes of Subfascial, Suprafascial, and Super-Thin Anterolateral Thigh Flaps: Tailoring Thickness without Added Morbidity.

    abstract:BACKGROUND: Subfascial anterolateral thigh (ALT) flap thickness can be problematic with regards to bulk, oral competence, shoe-fit, or as a potential source of recurrent wound breakdown. We have utilized distinct upper thigh fascial planes to fashion thin (suprafascial) or super-thin (periscarpal) ALT flaps to improve ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0037-1607426

    authors: Diamond S,Seth AK,Chattha AS,Iorio ML

    更新日期:2018-03-01 00:00:00

  • Microsurgical repair of Stensen's duct using an interposition vein graft.

    abstract::Facial wounds are frequently associated with bone fractures and multiple trauma; however, disruption of the parotid gland or Stensen's duct is rare and is often associated with facial nerve palsy. Lesions are often undiagnosed on first assessment of the multiple trauma patient. If microsurgical repair of Stensen's duc...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000078

    authors: Heymans O,Nélissen X,Médot M,Fissette J

    更新日期:1999-02-01 00:00:00

  • Forequarter amputation wound coverage with an ipsilateral, lymphedematous, circumferential forearm fasciocutaneous free flap in patients undergoing palliative shoulder-girdle tumor resection.

    abstract::Closure of massive soft-tissue defects in patients undergoing forequarter amputation for shoulder-girdle tumors may present a daunting challenge. This report describes two patients whose forequarter amputations were closed using ipsilateral, lymphedematous, circumferential forearm fasciocutaneous free flaps. ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006658

    authors: Zachary LS,Gottlieb LJ,Simon M,Ferguson MK,Calkins E

    更新日期:1993-03-01 00:00:00

  • Management of radial nerve injury associated with humeral shaft fractures: an evidence-based approach.

    abstract::Injury to the radial nerve is not uncommonly associated with fractures of the humerus. Despite a considerable amount of information and literature regarding management of these associated injuries, a universally accepted algorithm for treatment remains elusive. This article assimilates the data and provides evidence-b...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1090623

    authors: Elton SG,Rizzo M

    更新日期:2008-11-01 00:00:00

  • Reporting Practices on Immunosuppression and Rejection Management in Face Transplantation: A Systematic Review.

    abstract:BACKGROUND: Face transplantation is a demanding operation requiring complex planning and expert technical performance. While the documentation of successes of the first transplants is impressive, there are lacunae in reporting of institutional protocols for other critical operation components, namely, immunosuppression...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0039-1691787

    authors: Daneshgaran G,Stern CS,Garfein ES

    更新日期:2019-11-01 00:00:00

  • Facial nerve reconstruction using a vascularized lateral femoral cutaneous nerve graft based on the superficial circumflex iliac artery system: an application of the inferolateral extension of the groin flap.

    abstract::The use of an inferolateral extension technique of a groin flap has previously been reported. This technique involves harvesting an extended portion from the anterolateral thigh, including the lateral femoral cutaneous nerve (LFCN) and its accompanying vessels, attached to a groin flap via communications between the L...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1263288

    authors: Kashiwa K,Kobayashi S,Nasu W,Kuroda T,Higuchi H

    更新日期:2010-11-01 00:00:00