HEEL ULCER IN LEPROSY TREATED WITH FASCIOCUTANEOUS ISLAND FLAP FROM THE INSTEP OF THE SOLE

被引:9
作者
GRAVEM, PE
机构
[1] All Africa Leprosy Rehabilitation and Training Centre (ALERT), Addis Ababa
[2] Department of Plastic Surgery, Haukeland Univ Hospital, N-5021, Bergen
来源
SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY | 1991年 / 25卷 / 02期
关键词
PLANTAR ULCERS; NEUROTROPHIC ULCERS; HEEL ULCERS; PLANTAR RECONSTRUCTION; ISLAND FLAPS; LEPROSY; CLINICAL-APPLICATIONS; ANATOMIC BASIS; PLANTAR; DEFECTS; DESIGN; FOOT;
D O I
10.3109/02844319109111276
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
Twenty-four leprous patients with long-standing ulcer of the weight bearing area of the heel underwent reconstruction by use of fasciocutaneous island flap from the instep. One flap was lost because the vascular pedicle was accidentally severed during, the dissection. Infection delayed healing in three cases, and one patient developed minor necrosis of the edge of the flap without any adverse consequences. The remaining 18 cases healed without complications. Follow-up of 14 patients 3 to 10 months after the operation showed excellent results in all but the one whose flap was lost. The operation is recommended for difficult reconstructions of the heel.
引用
收藏
页码:155 / 160
页数:6
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