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Reconstruction of Lateral Forefoot Using Reversed Medial Plantar Flap with Free Anterolateral Thigh Flap


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Title: Reconstruction of Lateral Forefoot Using Reversed Medial Plantar Flap with Free Anterolateral Thigh Flap
Authors: Fujioka, Masaki / Hayashida, Kenji / Senju, Chikako
Issue Date: May-2014
Publisher: Academic Press Inc.
Citation: The Journal of Foot and Ankle Surgery, 53(3), pp.324-327; 2014
Abstract: Skin defects of the heel have frequently been reconstructed using the medial plantar flap however, forefoot coverage has remained a challenge, because the alternatives for flap coverage have been very limited. We describe a case of malignant melanoma on the lateral forefoot that was radically removed and reconstructed successfully with a distally based medial plantar flap, together with a free anterolateral thigh flap. The advantages of this flap include that it does not reduce the vascular supply to the foot owing to reconstruction of the medial plantar vascular systems, reduces the risk of flap congestion, minimizes donor site morbidity, and enables the transport of structurally similar tissues to the plantar forefoot. We believe this technique is a reasonable reconstructive option for large lateral plantar forefoot defects.
Keywords: Chemotherapy / Free flow-through flap / Interposing flap / Melanoma flap / Weightbearing region / Wound reconstruction
URI: http://hdl.handle.net/10069/34452
ISSN: 10672516
DOI: 10.1053/j.jfas.2013.12.012
Rights: © 2014 American College of Foot and Ankle Surgeons. Published by Elsevier Ltd. on behalf of the American College of Foot and Ankle Surgeons All rights reserved. / NOTICE: this is the author’s version of a work that was accepted for publication in The Journal of Foot and Ankle Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in The Journal of Foot and Ankle Surgery, 53, 3, (2014)
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/34452

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