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CC BY-NC-ND 4.0 · Indian J Plast Surg 2009; 42(01): 115-117
DOI: 10.4103/0970-0358.53022
Case Report
Association of Plastic Surgeons of India

Free tissue transfer for trophic ulcer complicating leprosy

Yogesh C. Bhatt
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
,
Nikhil S. Panse
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
,
Kinnari A. Vyas
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
,
Gunjan A. Patel
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
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Publikationsdatum:
15. Januar 2020 (online)

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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
 

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