Reconstruction of a traumatic plantar foot defect with a novel free flap: The medial triceps brachii free flap

Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology
Franck Marie Leclère, Vincent Casoli

Abstract

Lower extremity defects may account for 14.6% of the approximately 117 million visits to emergency departments in the U. S. in 2007. In this article, we present a reconstruction of a traumatic plantar foot defect with a medial triceps brachii (MTB) free flap. A 53-year-old man sustained an accidental gunshot wound to the right foot. The patient was admitted after the failure of a sural flap procedure performed in another hospital. He presented with a soft-tissue defect with calcaneal exposition and osteomyelitis. The defect was reconstructed with a MTB free flap anastomosed to his dorsalis pedis vessels. Flap raising time was 52 min. There were no intraoperative complications. The total flap surface was 38.5 cm². The pedicle length was 3 cm. The diameters of the artery and vein of the flap pedicle were 1.1 mm and 1.4 mm, respectively. Ischemia time was 28 min. His donor site healed uneventfully without any morbidity, and the scar was well concealed. The flaps survived and there was no partial flap necrosis. A split-thickness skin graft was performed 12 days postoperatively. Two months later, he had a completely healed wound with no contour abnormality. The total follow-up was 24 months. The patient was able to walk normally. MT...Continue Reading

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Citations

Jan 2, 2015·Archives of Orthopaedic and Trauma Surgery·Anaïs DelgoveVincent Casoli
Jun 3, 2016·Regenerative Medicine·Franck Marie Leclère, Vincent Casoli
Oct 26, 2016·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Franck Marie LeclèreVincent Casoli
Mar 29, 2019·Plastic and Reconstructive Surgery·Christopher S CroweKari A Keys

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