Long-standing wounds are at high risk for infection.Therefore,it is critical to achieve wound healing in a timely manner;however,some complex wounds remain recalcitrant and difficult to treat.Local muscle flaps are an...Long-standing wounds are at high risk for infection.Therefore,it is critical to achieve wound healing in a timely manner;however,some complex wounds remain recalcitrant and difficult to treat.Local muscle flaps are an underutilized technique with great utility in the reconstruction of complex foot wounds.Providing a healthy bleeding base that promotes wound healing,these muscle flaps can greatly benefit the patient and prevent amputation.In this present report,we demonstrate the use of the abductor hallucis muscle flap in the reconstruction of a complex wound following bunion surgery.展开更多
The medial plantar artery(MPA),as a terminal branch of the posterior tibial artery,provides perfusion to the musculature of the medial compartment of the plantar foot as well as cutaneous branches to the skin.The arte...The medial plantar artery(MPA),as a terminal branch of the posterior tibial artery,provides perfusion to the musculature of the medial compartment of the plantar foot as well as cutaneous branches to the skin.The artery and its perforators serve as the foundation for several flaps based on various soft tissue components for the coverage of small defects of the foot.Most noteworthy is the fasciocutaneous flap,which utilizes the skin and the unique properties of the plantar foot.Understanding the anatomical relationship of the terminal branches of the MPA,the superficial and deep branches,is necessary in determining the type of tissue and the flap design to be utilized for reconstruction.展开更多
文摘Long-standing wounds are at high risk for infection.Therefore,it is critical to achieve wound healing in a timely manner;however,some complex wounds remain recalcitrant and difficult to treat.Local muscle flaps are an underutilized technique with great utility in the reconstruction of complex foot wounds.Providing a healthy bleeding base that promotes wound healing,these muscle flaps can greatly benefit the patient and prevent amputation.In this present report,we demonstrate the use of the abductor hallucis muscle flap in the reconstruction of a complex wound following bunion surgery.
基金supported by resources and the use of facilities at the Cincinnati Veteran Affairs Medical Center.
文摘The medial plantar artery(MPA),as a terminal branch of the posterior tibial artery,provides perfusion to the musculature of the medial compartment of the plantar foot as well as cutaneous branches to the skin.The artery and its perforators serve as the foundation for several flaps based on various soft tissue components for the coverage of small defects of the foot.Most noteworthy is the fasciocutaneous flap,which utilizes the skin and the unique properties of the plantar foot.Understanding the anatomical relationship of the terminal branches of the MPA,the superficial and deep branches,is necessary in determining the type of tissue and the flap design to be utilized for reconstruction.
