Free tissue transfer for trophic ulcer complicating leprosy
Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients.<sup><b> </sup></b> Various loco-regional flaps have been described for reconstruction of trophic ulcers; however, very large defects are not amenable to lo...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2009-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=115;epage=117;aulast=Bhatt |
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| Summary: | Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients.<sup><b> </sup></b> 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. |
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| ISSN: | 0970-0358 1998-376X |