Lateral supramalleolar flap for heel coverage in a patient with Werner's syndrome.

Abstract:

:The repair of intractable ulcer over the Achilles' tendon in a patient with Werner's syndrome is described. The ulcer was covered successfully with a lateral supramalleolar flap combined with a delay procedure. Partial necrosis of the flap occurred; however, the necrotic area could be repaired with a skin graft because the underlying adipofascia of the flap survived. Histopathological studies revealed marked dermal fibrosis spreading to the subcutis, however the deep adipofascia was not so afflicted. The lateral supramalleolar flap, if combined with a delay procedure, can be used as a first choice in the repair of an ulcer in the heel region as long as apparent arteriosclerotic changes do not exist.

journal_name

Ann Plast Surg

authors

Okazaki M,Ueda K,Kuriki K

doi

10.1097/00000637-199809000-00015

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

307-10

issue

3

eissn

0148-7043

issn

1536-3708

journal_volume

41

pub_type

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