Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 71-74 , January 2010

V-Y Fasciocutaneous Advancement Flap Coverage of Soft Tissue Defects of the Foot in the Patient at High Risk

  • Thomas S. Roukis, DPM, PhD, FACFAS

      Affiliations

    • Chief, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Director Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Madigan Army Medical Center, Tacoma, Washington
    • Corresponding Author InformationAddress for correspondence: Thomas S. Roukis, DPM, PhD, FACFAS, Chief, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Director Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Madigan Army Medical Center, 9040-A Fitzsimmons Dr, MCHJ-SV, Tacoma, WA 98431.
    • ,
  • Monica H. Schweinberger, DPM, AACFAS

      Affiliations

    • Former Fellow, Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Madigan Army Medical Center; Podiatric Surgeon, VA Medical Center, Cheyenne, Wyoming
    • ,
  • Valerie L. Schade, DPM, AACFAS

      Affiliations

    • Fellow (PGY-5), Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, Washington

References 

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  2. Zgonis T, Stapleton JJ, Roukis TS. Advanced plastic surgery techniques for soft-tissue coverage of the diabetic foot. Clin Podiatr Med Surg. 2007;24:547–568
  3. Levin LS. Personality of soft tissue injury. Tech Orthop. 1995;10(2):65–72
  4. Frykberg RG, Zgonis T, Armstrong DG, Driver VR, Giurini JM, Kravitz SR, et al. Diabetic foot disorders: a clinical practice guideline. J Foot Ankle Surg. 2006;45(5):S1–S66
  5. Brem H, Sheehan P, Boulton AJ. Protocol for treatment of diabetic foot ulcers. Am J Surg. 2004;187(5-A):S1–S10
  6. Levin LS. The reconstructive ladder: an ortho-plastic approach. Orthop Clin North Am. 1993;24(3):393–409
  7. Bennett N, Choudhary S. Why climb a ladder when you can take the elevator?. Plast Reconstr Surg. 2000;105(6):2266
  8. Colen LB, Replogle SL, Mathes SJ. The V-Y plantar flap for reconstruction of the forefoot. Plast Reconstr Surg. 1988;81(2):220–228
  9. Roukis TS. The Doppler probe for planning septofasciocutaneous advancement flaps on the plantar aspect of the foot: anatomical study and clinical applications. J Foot Ankle Surg. 2000;39(5):270–290
  10. Roukis TS. Radical solutions: bold debridement techniques can work for both chronic and acute wounds. Ortho Kinetic Rev. 2004;4:20
  11. Levin LS. Debridement. Tech Orthop. 1995;10(2):104–108
  12. Abolfazl Shojaiefard A, Khorgami Z, Larijani B. Septic diabetic foot is not necessarily an indication for amputation. J Foot Ankle Surg. 2008;47:419–423
  13. Roukis TS, Zgonis T, Tiernan B. Autologous platelet-rich plasma for wound and osseous healing: a review of the literature and commercially available products. Adv Ther. 2006;23:218–236
  14. Roukis TS, Stapleton JJ, Zgonis T. Addressing psychosocial aspects of care for patients with diabetes undergoing limb salvage surgery. Clin Podiatr Med Surg. 2007;24(3):601–610
  15. Schweinberger MH, Roukis TS. Wound complications. Clin Podiatr Med Surg. 2009;26(1):1–10
  16. Attinger CE, Janis JE, Steinberg J, Schwartz J, Al-Attar A, Couch K. Clinical approach to wounds: debridement and wound bed preparation including the use of dressings and wound-healing adjuvants. Plast Reconstr Surg. 2006;117(7):S72–S109
  17. Iwahira Y, Maruyama Y. The design of a plantar flap with respect to the plantar fissure. Jpn J Plastic Reconstr Surg. 1992;35(3):293–300
  18. Wu S, Armstrong DG. The role of activity, adherence, and off-loading on the healing of diabetic foot wounds. Plast Reconstr Surg. 2006;117(7):S248–S253

 Disclaimer: The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of the Army or the Department of Defense.

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00191-4

doi: 10.1053/j.jfas.2009.04.006

Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 71-74 , January 2010

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