Medialis pedis flap for reconstruction of weight bearing heel.

Abstract:

BACKGROUND:Among the various flaps available for the reconstruction of the heel, a medial plantar flap has been widely accepted as the most ideal. This flap, however, involves the medial plantar nerve and its cutaneous branches, which may lead to postoperative hyperesthesia and dual sensation. The purpose of this report was to report the outcomes of the use of the medialis pedis flap for the coverage of weight bearing heel soft tissue defect. PATIENTS AND METHODS:A total of 8 patients who had undergone reconstruction of the weight bearing heel with the medialis pedis flap were enrolled for this study. There were 6 male and 2 female patients and the mean age was 46 years. The causes of the defects included pressure sore, crushing injury and malignant melanoma. The mean size of the defects was 3 × 4 cm. Five cases were reconstructed with island flaps and 3 were covered with free flaps. RESULTS:The mean size of the flaps was 3×5 cm. All flaps survived. One case developed arterial insufficiency and was treated with a vein graft. Ambulation in normal shoes was possible in all the patients. Seven cases did not report pain, but 1 case complained of mild pain. No case reported complications including pain at the donor site, ulcerations, sensory loss, hyperesthesia, or sensory disturbance. The mean follow-up period was 14.4 months. CONCLUSIONS:The medialis pedis flap may be considered a useful flap for the reconstruction of soft tissue defects smaller than 5 cm in the weight bearing heel.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Park JS,Lee JH,Lee JS,Baek JH

doi

10.1002/micr.30198

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

780-785

issue

7

eissn

0738-1085

issn

1098-2752

journal_volume

37

pub_type

杂志文章
  • Application of Kunlin's technique in vascular micro-anastomosis: experimental and clinical study.

    abstract::Vascular microanastomosis of vessels that presents marked discrepancy in size can be performed without difficulty by making a longitudinal incision of the end of the smallest vessel, forming a kind of "spatula," and joined to the vessel of greater diameter. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920060111

    authors: Fossati E,Asurey N,Irigaray A

    更新日期:1985-01-01 00:00:00

  • Silicone rubber tubulization in peripheral sensory nerve reconstruction: an experimental study in rabbits.

    abstract::Silicone rubber (polydimethyl siloxane) tubes are used clinically in peripheral nerve reconstruction. A disadvantage of this procedure is that the material often has to be removed owing to its mechanical properties. The aim of our study was to investigate the healing of reconstructed sensory nerves tubulized by silico...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1057

    authors: Heijke GC,Klopper PJ,Baljet B,van Doorn IB

    更新日期:2001-01-01 00:00:00

  • Multifactorial effects on the patency rates of forearm arterial repairs.

    abstract::It is clear that the late clinical symptomatology and the patency of forearm arterial repairs have been contradictory. This study, during which the relationship between the symptomatology and patency has been studied, explores the influence of the local hemodynamic changes and the effect of microsurgical technique on ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1006

    authors: Bacakoğlu A,Ozkan MH,Coşkunol E,Ozdemir O,Ekin A

    更新日期:2001-01-01 00:00:00

  • Healing of a severe microarterial trauma: an experimental study.

    abstract::A severe microarterial trauma (arteriotomy/intimectomy) was introduced to the central arteries of rabbit ears. Twenty-one patent vessels, 3 at each interval of 2 hours, 1, 3, 7, 14, 30, and 90 days after reperfusion were taken for light and scanning electron microscopy studies. These vessels remained patent at all tim...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150208

    authors: Zhang B,Wieslander JB

    更新日期:1994-01-01 00:00:00

  • Extremity salvage with a free musculocutaneous latissimus dorsi flap and free tendon transfer after resection of a large congenital fibro sarcoma in a 15-week-old infant. A case report.

    abstract::A case of complex microsurgical reconstruction of the dorsum of the foot, including tendon transfer following tumor resection, in a 15-week-old male infant is presented. After birth, a 5.5 x 4 cm large tumor was observed on the dorsum of the right foot. Biopsy showed a congenital malignant fibro sarcoma. After initial...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20266

    authors: Germann G,Waag KL,Selle B,Jester A

    更新日期:2006-01-01 00:00:00

  • Nerve regeneration through a two-ply biodegradable nerve guide in the rat and the influence of ACTH4-9 nerve growth factor.

    abstract::Biodegradable polyurethane-based (PU) nerve guides, instilled with or without ACTH4-9 analog (a melanocortin) were used for bridging an 8 mm gap in the rat sciatic nerve and were evaluated for function and histological appearance after 16 weeks of implantation. Autologous nerve grafts functioned as controls. The guide...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120608

    authors: Robinson PH,van der Lei B,Hoppen HJ,Leenslag JW,Pennings AJ,Nieuwenhuis P

    更新日期:1991-01-01 00:00:00

  • Experimental study on the behavior of a transplanted vascular pedicle.

    abstract::The transparent chamber technique of the hamster cheek pouch was utilized to observe the behavior of a transplanted vascular pedicle within a relatively adverse environment. Observations included direct visualization with intravital microscopy, histology, scanning electron microscopy, and alkaline phosphatase staining...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920100307

    authors: Hung LK,Leung PC,Cheng GL

    更新日期:1989-01-01 00:00:00

  • Free jejunal flap transfer containing multiple vascular pedicles for pharyngoesophageal reconstruction in conjunction with anterior mediastinal tracheostomy.

    abstract:BACKGROUND:When pharyngoesophagectomy is performed in conjunction with anterior mediastinal tracheostomy, reconstructing both the trachea and alimentary tract is extremely difficult. We developed a novel 1-stage reconstructive procedure using a single free jejunal flap containing multiple vascular pedicles to decrease ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30359

    authors: Kubo T,Kurita T,Tashima H,Seike S,Fujii T,Yano M,Yamasaki M,Doki Y,Hosokawa K

    更新日期:2018-11-01 00:00:00

  • Successful microvascular replantation of a completely amputated ear.

    abstract::A case of successful microvascular replantation of a traumatically amputated ear is presented. The postoperative course was complicated by venous thrombosis requiring the use of medicinal leeches and systemic heparinization for salvage. This is the tenth successful microvascular ear replantation reported in the litera...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140505

    authors: Rapaport DP,Breitbart AS,Karp NS,Siebert JW

    更新日期:1993-01-01 00:00:00

  • The place of the iliac crest in vascularized oromandibular reconstruction.

    abstract::The iliac crest is reevaluated with respect to the rapid evolution of vascularized mandibular reconstruction. With more flaps to choose from, indications for the crest have become more specific-playing to the strengths of this particular transfer. Ideally, defects should exclude soft tissue and occupy lateral segments...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150406

    authors: Boyd JB

    更新日期:1994-01-01 00:00:00

  • Critical time for neovascularization/angiogenesis to allow free flap survival after delayed postoperative anastomotic compromise without surgical intervention: A review of the literature.

    abstract:BACKGROUND:The aim of this study is to determine the minimal postoperative time required that may allow free flap survival after occlusion or ligation of the microsurgical anastomosis without surgical intervention. METHODS:All reports describing free flap survival and failure after delayed postoperative vascular compr...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.30082

    authors: Yoon AP,Jones NF

    更新日期:2016-10-01 00:00:00

  • Natural course of postsurgical adhesions.

    abstract::To evaluate the natural course of postsurgical adhesion formation, a descriptive animal study was performed in a standardized rat adhesion model, involving the uterine horn and peritoneal side wall. Extent and type of postsurgical adhesion formation was evaluated at increasing postoperative time intervals up to 1 year...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160912

    authors: Bakkum EA,Trimbos-Kemper TC

    更新日期:1995-01-01 00:00:00

  • Combined treatment of digital degloving injuries: a case report.

    abstract::In a digital degloving injury of four fingers, a combined treatment of tripedicle dermal flap, free hemipulp web flap, and skin graft was used. The functional and cosmetic results of the hand were satisfactory. The patient had an excellent sensory recovery in the free hemipulp web flap and did not complain of any disa...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:3<172::aid-micr9>3

    authors: Karacalar A,Ozgenel Y,Ozcan M

    更新日期:1998-01-01 00:00:00

  • Correlating patient-reported outcomes and ambulation success following microsurgical lower extremity reconstruction in comorbid patients.

    abstract:INTRODUCTION:Microsurgical lower extremity flap reconstruction provides a valuable option for soft tissue reconstruction in comorbid patients. Limb salvage with flap reconstruction can result in limb length preservation. Despite this, few studies have examined the impact of salvage on patient-centered metrics in this c...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22126

    authors: Patel KM,Economides JM,Franklin B,Sosin M,Attinger C,Ducic I

    更新日期:2014-01-01 00:00:00

  • Changes in arterial blood flow of free flaps after the administration of sildenafil in swine.

    abstract::We evaluated blood flow changes after experimental free tissue transfer and the potential hemodynamic effect of sildenafil on the free flap. Sixteen swine were used for free transfer of a latissimus dorsi myocutaneous flap to the chest that was anastomosed to the internal mammary vessels, and were randomized into cont...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20909

    authors: Gravvanis A,Papalois A,Delikonstantinou I,Pentilas N,Zogogiannis I,Tsoutsos D,Karakitsos D

    更新日期:2011-09-01 00:00:00

  • Cross-leg tibial posterior perforator flap.

    abstract:BACKGROUND:In the lower leg posttraumatic pathology, we are frequently confronted with tissue defects that are difficult to cover by local or distance means, because of either the poor tissue quality or the precarious local vessels. One of the still available methods for solving these cases remains the cross-leg flap. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20375

    authors: Georgescu AV,Irina C,Ileana M

    更新日期:2007-01-01 00:00:00

  • Accumlation of lipoprostaglandin E1 at the anastomotic region after systemic application.

    abstract::Lipoprostaglandin E1 (lipo-PGE1) has been found accumulating in injured vascular regions. This study examined the localization of lipo-PGE1 in the anastomotic region. The study was divided into three parts. First, we performed anastomosis of the rat femoral artery and vein (n = 17). Lipo-PGE1 labeled with 1,1'-dioctad...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20890

    authors: Okochi M,Ueda K,Kajikawa A

    更新日期:2011-07-01 00:00:00

  • A single center comparison of one versus two venous anastomoses in 564 consecutive DIEP flaps: investigating the effect on venous congestion and flap survival.

    abstract:BACKGROUND:Venous complications have been reported as the more frequently encountered vascular complications seen in the transfer of deep inferior epigastric artery (DIEA) perforator (DIEP) flaps, with a variety of techniques described for augmenting the venous drainage of these flaps to minimize venous congestion. The...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20712

    authors: Enajat M,Rozen WM,Whitaker IS,Smit JM,Acosta R

    更新日期:2010-01-01 00:00:00

  • Pedicled chimeric sensitive fasciocutaneous anterolateral thigh (ALT) and vastus lateralis muscle (VLM) flap for groin defect reconstruction: A case report.

    abstract::The anterolateral thigh (ALT) flap is one of the most commonly used flap worldwide, as both free flap and pedicled local flap. Here, we report the use of a pedicled chimeric sensitive ALT and vastus lateralis muscle (VLM) flap in a patient with a 12 cm × 8 cm contaminated soft tissue defect of the right inguinal regio...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30157

    authors: Scaglioni MF,Franchi A,Giovanoli P

    更新日期:2018-05-01 00:00:00

  • A new type of magnification system in free microvascular tissue transfer: Varioscope M5.

    abstract::Free microvascular tissue transfers have become today a key instrument for the surgical treatment of wide loss of tissue. These procedures can provide definitive treatment in a single operation but they are expensive and require specialized practitioners. The operating microscope traditionally has provided this requir...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20399

    authors: Chiummariello S,Fioramonti P,Menichini G,Scuderi N,Alfano C

    更新日期:2007-01-01 00:00:00

  • Free SCIA/SIEA skin flap: a dual blood supply approach to groin region.

    abstract::Free groin flap donor skin is unequaled in generous skin supply and inconspicuousness. We reliably utilize this region by taking advantage of the dual blood supply from superficial circumlex iliac (SCIA) and superficial inferior epigastric (SIEA) arteries and name the flap "Free SCIA/SIEA skin flap." The arterial pedi...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20416

    authors: Aydin MA,Nasir S

    更新日期:2007-01-01 00:00:00

  • Double free-flap reconstruction of massive defects involving the lip, chin, and mandible.

    abstract::Two patients with massive, composite defects of the total lower lip, chin, and anterior mandible underwent double free-flap reconstruction. A fibular osteoseptocutaneous flap was used to reconstruct the mandible and floor of the mouth and a radial forearm fasciocutaneous composite flap, including the palmaris longus t...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:6<372::aid-micr6>3

    authors: Kuzon WM Jr,Jejurikar S,Wilkins EG,Swartz WM

    更新日期:1998-01-01 00:00:00

  • Aneurysmal cyst of the proximal radius: resection and free vascularized fibular bone graft.

    abstract::We present the case of a 22-year-old woman with an aneurysmal cyst of the right proximal radius, treated by resection and a free bone graft (microvascular fibular transfer), without recurrence after 4 years. Over a 4 month period, there was a rapidly expanding and lytic lesion found in the radius. There were symptoms ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140413

    authors: Nonnenmacher J,Bahm J,Laforest P,Kempf I

    更新日期:1993-01-01 00:00:00

  • Small bowel transplantation.

    abstract::Small intestinal transplantation has had several clinical attempts based on extensive experimental work during the past two decades. Several models, such as auxiliary (heterotopic) or orthotopic models, have been developed in regard to problems with graft immunology and function. The question of mesenteric-portal or m...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1920110411

    authors: Schroeder P,Gundlach M,Schweizer E,Deltz E

    更新日期:1990-01-01 00:00:00

  • Ultrasound visualization of the lymphatic vessels in the lower leg.

    abstract:BACKGROUND:Identification of lymphatic vessels for lymphaticovenular anastomosis (LVA), which is an effective surgical treatment for obstructive lymphedema, is important. Indocyanine green (ICG) lymphography is useful for that purpose, but is not common in many institutions. Although ultrasound is a very common modalit...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22414

    authors: Hayashi A,Yamamoto T,Yoshimatsu H,Hayashi N,Furuya M,Harima M,Narushima M,Koshima I

    更新日期:2016-07-01 00:00:00

  • Vein grafting in fingertip replantations.

    abstract::In this retrospective study, the survival rates of fingertip replantation with and without vein grafting were evaluated along with their postoperative functional and cosmetic results. One hundred twenty-one-fingertip amputations were performed in 103 patients between September 2002 and July 2007. Thirty-four amputated...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20614

    authors: Yan H,Jackson WD,Songcharoen S,Akdemir O,Li Z,Chen X,Jiang L,Gao W

    更新日期:2009-01-01 00:00:00

  • Effect of oblique nerve grafting on peripheral nerve regeneration in rats.

    abstract::Current methods of peripheral nerve repair are to rejoin cut nerve stumps directly or to bridge large gaps with autologous nerve grafts. In both cases the surface of nerve stump endings is typically cut perpendicularly to the long axis of the nerve. The outcome of such operations, however, is still not satisfactory. I...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20290

    authors: Kotulska K,Marcol W,Larysz-Brysz M,Tendera Z,Malinowska-Kołodziej I,Slusarczyk W,Jedrzejowska-Szypułka H,Lewin-Kowalik J

    更新日期:2006-01-01 00:00:00

  • Lymphovenous anastomosis (LVA) for treatment of isolated penile lymphedema: A case report.

    abstract::Isolated penile lymphedema is a rare but severely disabling condition due to reduced lymphatic drainage. In this area treatment opportunities are poor being that conservative management is usually not effective and surgery limited to debulking lymphangiectomy, which is indicated only in very severe cases. Lymphovenous...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.30560

    authors: Scaglioni MF,Meroni M,Fritsche E

    更新日期:2020-09-01 00:00:00

  • Free versus perforator-pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta-analysis.

    abstract:INTRODUCTION:Currently, increasingly reconstructive surgeon consider the failure rates of perforator propeller flaps especially in the distal third of the lower leg are too important and prefer to return to the use of free flap at first line option with failure rates frequently lower than 5%. So, we performed a systema...

    journal_title:Microsurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/micr.30047

    authors: Bekara F,Herlin C,Somda S,de Runz A,Grolleau JL,Chaput B

    更新日期:2018-01-01 00:00:00

  • Antigenic load and peripheral chimeric levels in entire and partial liver allograft recipients.

    abstract::Orthotopic partial liver transplantation (PLT) models were developed in rats to explore the unique role of the liver in transplant tolerance. In PVG rats, syngeneic PLT established that surgical reduction to one-third of the liver and orthotopic transplantation permitted survival. Allogeneic PLT in the PVG to DA liver...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1036

    authors: Sun J,Qin G,Wu L,Wang C,Sheil AG

    更新日期:2001-01-01 00:00:00