Reconstruction Of The Burned Foot

Burns of the feet pose unique and difficult problems in initial management, reconstruction, and the attainment of long-term functional results. The primary reconstructive goals for this region are unimpeded ambulation and weightbearing on a pain-free limb. These objectives can be achieved by adherence to established principles of wound management, a clear delineation of the reconstructive requirements of the foot, and a team approach toward attaining these goals. The goal of any method of reconstruction should be the restoration of function within a reasonable aesthetic appearance. With the foot, in addition to adequate healing, the goal should be the ability to walk again, wear normal footwear, and, if possible, return to work.

Reconstruction of the burned foot

The venoneuroadipofascial pedicled distally based sural island myofasciocutaneous flap: case reports.

The coverage of skin defects of the ankle and of the distal fourth of the leg remains a difficult problem despite progress in reconstructive surgery. The aim of our study was to establish an arterial map of the lateral head of the soleus muscle, to compare it with the existing data in order to investigate the possibility of raising a fibular artery-based pedicle island reverse flow flap. It has the theoretical advantage over its medial counterpart of sparing the main arterial axis of the leg and foot. The anatomical study was undertaken on 15 fresh cadavers, 8 left and 7 right randomly chosen lower extremities from different subjects. For each calf, the following measurements were obtained: fibular length from the fibular head to the tip of the lateral malleolus; length of the lateral head of the soleus from its most proximal insertion point on the fibula to the most proximal part of the ending of the muscle belly on the Achilles tendon; width of the lateral head of the soleus; distance between the origin of the fibular artery and the tip of the fibular head; number and height of the pedicles for the lateral soleus, taking as reference their origin from the fibular artery. The mean dimensions of the muscle belly of the lateral soleus were 218 mm in length (between 160 and 270) and 73 mm in width (58-95). In all the examined lower extremities, we found a main pedicle for the lateral soleus emerging from the fibular artery; and in all cases the blood supply of the proximal part of the muscle was of a segmental distribution by way of multiple branches originating from the fibular artery. Then the flaps were raised with a distal pivot point represented by the perforating branch of the fibular artery. In all the cases, the flap would have covered an ankle or a dorsal foot defect up to the metatarsal heads.

The island hemisoleus flap on distal vascular pedicle: anatomical bases and clinical applications

To investigate the clinical effect of distally pedicled peroneus brevis muscle flaps and retrograde neurocutaneous flaps on treatment of bone and soft-tissue 3-dimensional defects of the lower leg ...

The application of distally pedicled peroneus brevis muscle flaps and retrograde neurocutaneous accompanying artery flaps for treatment of bony and soft-tissue 3-dimensional defects of the lower leg and foot.

https://www.jprasurg.com/article/S0007-1226(96)90084-3/pdf

The distally based posterior tibial myofasciocutaneous island flap in foot reconstruction

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The distally based posterior tibial myofasciocutaneous island flap in foot reconstruction