Reconstruction of the diabetic foot using the anterolateral thigh perforator flap

Plastic and Reconstructive Surgery
Joon Pio Hong

Abstract

The purpose of this study was to evaluate the outcome of the diabetic foot reconstructed with the anterolateral thigh perforator flap. This study reviews 71 cases of salvaged diabetic foot over a 52-month period. Patients ranged in age from 33 to 72 years (average, 51 years), with an average follow-up of 11 months. Flaps survived in all but one reconstructed case, resulting in equivocal findings compared with microvascular free tissue transfer of nondiabetic patients. Early complications such as delayed healing with minor wound dehiscence were seen in three cases, and partial flap necrosis was seen in four cases. Patients with chronic infections were controlled without recurrences. During the follow-up, 69 patients achieved full weight bearing, acceptable contour, and quality of gait before diabetic foot complications. However, late complications such as recurrence of ulceration was noted in one patient, who was blind and unable to perform daily inspection of the foot. The anterolateral thigh perforator flap provides well-vascularized tissue that controls infection, a thin flap that provides one-stage contouring and minimizes shearing, and a skin paddle that resists pressure and improves durability. The flap can also be combine...Continue Reading

References

Feb 1, 1990·Annals of Plastic Surgery·E J WybleH W Neale
Feb 1, 1991·British Journal of Plastic Surgery·G ZhouR Swift
May 1, 1989·British Journal of Plastic Surgery·I KoshimaS Soeda
Sep 1, 1986·Plastic and Reconstructive Surgery·G NoeverL Köhler
Jan 1, 1988·Annals of Plastic Surgery·G G HallockG A Arangio
May 1, 1986·The Journal of Bone and Joint Surgery. British Volume·K S Christensen, M Klarke
Mar 1, 1970·Diabetes·M L Ecker, B S Jacobs
Apr 1, 1984·Plastic and Reconstructive Surgery·J W MayR C Savage
Apr 1, 1984·British Journal of Plastic Surgery·Y G SongY L Song
May 1, 1995·Plastic and Reconstructive Surgery·B S AtiyehT Husami
Jan 1, 1994·Microsurgery·M C FerreiraA Zumiotti
May 1, 1994·Foot & Ankle International·J W DurhamB A Miller
Nov 1, 1994·Plastic and Reconstructive Surgery·N S KarpS Colen
Sep 1, 1993·Plastic and Reconstructive Surgery·S N OishiW C Pederson
Oct 17, 1998·Plastic and Reconstructive Surgery·Y KimataK Harii
Oct 20, 1998·American Journal of Surgery·G E ReiberG W Gibbons
Jun 26, 1999·Annals of Plastic Surgery·C RainerM M Ninković
Jul 22, 1999·Microsurgery·S LuoD V Egloff
Mar 29, 2000·Annals of Plastic Surgery·A YücelZ Güzel
May 5, 2001·Journal of Reconstructive Microsurgery·R MusharafiehR Haidar
Oct 18, 2001·Plastic and Reconstructive Surgery·N KimuraT Ostuka
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Jun 5, 2002·Plastic and Reconstructive Surgery·Fabio SantanelliNicolò Scuderi
Aug 29, 2002·Plastic and Reconstructive Surgery·Christopher E AttingerCharles M Zelen
Jun 10, 2003·Plastic and Reconstructive Surgery·Ahmet SönmezAyhan Numanoğlu
Jul 2, 2003·Microsurgery·Ramzi S MoucharafiehBechara Atiyeh
Jan 15, 2004·Journal of Reconstructive Microsurgery·Christian RainerMilomir Ninkovic
May 26, 2004·Annals of Plastic Surgery·J Joris Hage, Leonie A E Woerdeman
Apr 30, 2005·Plastic and Reconstructive Surgery·Tan Chyn HongAziz Nather

❮ Previous
Next ❯

Citations

Jan 28, 2012·Journal of Hand and Microsurgery·Joon Pio HongMoo Young Lee
Jan 1, 2009·Plastic and Reconstructive Surgery·Joon Pio Hong
Dec 17, 2009·Plastic and Reconstructive Surgery·Scott T HollenbeckL Scott Levin
Apr 22, 2011·Annals of Plastic Surgery·Hede YanFeng Zhang
Oct 11, 2012·Diabetic Foot & Ankle·Alexandru V GeorgescuIrina M Capota
Aug 8, 2015·Surgical and Radiologic Anatomy : SRA·Dajiang SongChunlin Hou
Oct 27, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Tae Suk OhJoon Pio Hong
Jun 27, 2012·Clinics in Plastic Surgery·Joon Pio Hong, Tae Suk Oh
Jun 5, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yu Jin JangIl Jae Lee
Sep 30, 2014·The Journal of Medical Investigation : JMI·Ichiro HashimotoHideki Nakanishi
Dec 18, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E J Fitzgerald O'ConnorR J Hinchliffe
Nov 10, 2015·Journal of Clinical Orthopaedics and Trauma·Tae Hwan Park, Ashish Anand
Oct 1, 2016·Current Problems in Surgery·Richard F NevilleMichael S Stempel
Apr 4, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·E EskelinenH Kuokkanen
Jul 28, 2016·Archives of Plastic Surgery·Sa Hyeok HongGordon K Lee
Aug 10, 2019·Plastic and Reconstructive Surgery·Usama AbdelfattahJoon Pio Hong
Oct 21, 2016·Plastic and Reconstructive Surgery. Global Open·Chairat BurusapatAnuchit Ruamthanthong
Sep 28, 2016·Plastic and Reconstructive Surgery·Hyun Suk SuhJoon Pio Hong
Jun 24, 2015·Annals of Plastic Surgery·Jonathan A Zelken, Chih-Hung Lin
Mar 10, 2017·Journal of Plastic Surgery and Hand Surgery·Tomoya SatoShigeru Ichioka
May 11, 2017·Annals of Surgical Oncology·Kyeong-Tae LeeGoo-Hyun Mun
May 21, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Xuekang YangDahai Hu
May 31, 2019·International Wound Journal·Hyunsuk Peter Suh, Joon Pio Hong
Apr 2, 2021·Journal of Reconstructive Microsurgery·Eleanor S LumleyJoon Pio Hong

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.