Abstract
Extensive soft tissue and osseous defects of the foot are difficult to manage and
often result in amputation. Most of these wounds are created by trauma, but other
causes, such as infection and malignancy, can create similar defects. A variety of
wound management options exist for the treatment of these challenging wounds, including
negative pressure wound therapy, autogenous skin grafting, and the use of skin substitutes,
as well as internal and external fixation methods. In the present report, we describe
the use of a free osteocutaneous radial forearm flap to manage a 10-cm × 5-cm dorsal
soft tissue defect and a 2.5-cm second metatarsal diaphyseal defect in an adult male.
Level of Clinical Evidence
Keywords
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References
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- Osteocutaneous radial forearm free flaps: the necessity of internal fixation of the donor-site defect to prevent pathological fracture.J Bone Joint Surg Am. 2000; 82: 694-704
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- One-stage reconstruction of the complex midfoot defect with a multiple osteotomized free fibular osteocutaneous flap: case report and literature review.Microsurgery. 2010; 30: 64-69
- Management of a composite foot defect due to mine explosion using the free fibula osteocutaneous flap.J Reconstr Microsurg. 2008; 24: 53-56
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- The radial forearm flap: reconstructive applications and donor-site defects in 35 consecutive patients.Plast Reconstr Surg. 1990; 85: 258-266
Article info
Publication history
Published online: November 15, 2011
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
