J Reconstr Microsurg 2011; 27(4): 211-214
DOI: 10.1055/s-0031-1272961
© Thieme Medical Publishers

The Reconstruction of Foot Soft Tissue Defects by Tangential Debulking of the Latissimus Dorsi Flap

Ahmet Fatih Parmaksizoğlu1 , Mehmet Bekir Ünal2 , Eren Cansü3
  • 1Department of Orthopaedics, Traumatology, and Hand Surgery, Medical Park Göstepe Hospital, İstanbul
  • 2Department of Orthopaedics, Traumatology, and Hand Surgery, Maltepe University Hospital, İstanbul
  • 3Department of Orthopaedics, Traumatology, and Hand Surgery, Yüzyıl Hospital, Kocaeli, Turkey
Further Information

Publication History

Publication Date:
16 February 2011 (online)

ABSTRACT

Reconstruction of foot soft tissue is challenging particularly in the presence of a large defect involving both dorsal and plantar surfaces. In large defects, use of a latissimus dorsi muscle (LDM) flap is the preferred coverage method, yet LDM flaps are bulky. Despite undergoing multiple debulking procedures, patients whose feet are repaired with LDM flaps must wear oversized custom-made shoes. We developed an approach to allow patients to wear regular shoes. In six patients, we used a debulking procedure that was based on tangential trimming of the flap to the level of thickness required for normal foot contour. All patients underwent debulking 3 months after initial LDM flap coverage. The mean duration of follow-up care was 21 months (range, 8 to 32 months). All flaps survived a secondary debulking procedure. One patient developed an ulcer at the weight-bearing area of a sole. All six patients were able to wear regular shoes without difficulty.

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Mehmet Bekir ÜnalM.D. 

Department of Orthopaedics, Traumatology, and Hand Surgery, Maltepe University Hospital

Feyzullah Caddesi, No. 39 Maltepe, İstanbul, Turkey

Email: mehmetbekirunal@yahoo.com