Reconstruction with distally based dorsalis pedis fasciocutaneous flap for the coverage of distal toe-plantar defects (part 2)

distal toe-plantar defects (part 2)

Case presentation
An 18-year-old boy presented with a high-voltage electrical burn of the dorsal side of the great toe. Necrosis of skin had occurred (Figure 1). Preoperatively, both the dorsalis pedis and posterior tibial artery were palpable, and Doppler flowmetry confirmed the course of dorsalis pedis artery. Ten days after the injury, the wound was completely debrided and the necrotic skin and bone removed. The patient was diabetic, with a blood glucose level of 24.98 mmol/L. The blood glucose level was managed by an endocrinologist until the operation.
Les petites anomalies de la face distale du pied ont toujours pose un defi de reconstruction. Est presente le cas d’un jeune garvon ayant subi une brulure electrique profonde de la face distale de la partie laterale du gros orteil, traite avec succes au moyen d’un lambeau fasciocutane de la face distale de la partie dorsale du pied. Trois semaines apres une greffe de la region du dos du pied provenant d’un donneur, le patient a pu reprendre la deambulation. Les avantages, les limites et les considerations anatomiques relatives a la viabilite du lambeau sont egalement abordes. There is always a great pharmacy waiting for you to visit and purchase the amount of medicine you need, be that cialis canadian pharmacy online or any other one. You can see that all for yourself once you visit, enjoying most advantageous deals ever.

distal toe-plantar defects (part 2)1

Figure 1) Exposed metatarsal bone as a result of a high-voltage electrical burn injury

This entry was posted in Plastic surgery and tagged Dorsalis pedis, Fasciocutaneous, Flap, Reconstruction.