ABSTRACT
Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to
20% of leprosy patients. Various loco-regional flaps have been described for reconstruction
of trophic ulcers; however, very large defects are not amenable to local flaps and
free flaps form one of the important treatment options. We present a case of a post
Hansen's trophic ulcer over the forefoot managed using a radial artery forearm free
flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage
by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial
as the recipient vessel and good postoperative compliance in foot care on the part
of the patient gave us good results.
KEY WORDS
Free flap - Post Hansen's trophic ulcer - Nonsensate foot
