Keywords
fibular plantar marginal artery
sole
sole ulcer
non-healing wounds
plastic surgery
adaptation fillet flap for surface wound
How to Cite
Abstract
The personal experience of digital fillet flap plastic method application, including the proposed flap of the anterior-lateral sole part with inclusion of the arteriae plantaris lateralis digiti quinti, seu artery plantaris superficialis fibularis, and variable plantar metatarsal arteries of the fourth intermetatarsal space combined with little toe fillet flaps plasty, for the purpose of restoration of non-healing wounds and ulcers of the forefoot in 5 patients have been presented. It was shown, that this method allows to reconstruct the defect of sole by weight bearing flap with multiple axial vascular supply and neurosensation. The flap has been successfully used for restoration of non-healing wounds and ulcers of the forefoot. Proposed is the method of adaptation of fillet flap to wound surface based on the application of the 3–5 radial incisions, 2–3 mm in length, of the soft tissue of hemispherical finger flap edges without damaging digital vessels and nerves, and allowing both to decrease flap curvature, thus minimizing underlay free spaсe and tissue tension and to cover larger wounds area. The fillet flaps were successfully used in restoration of neurotrophic ulcer and non-healing wounds of the forefoot.
References
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