Neurovascular free flaps from the foot for innervation of the hand.
Microneurovascular flaps from the first web space of the foot offer a solution to upgrade sensibility of the denervated hand. Based on the dorsalis pedis artery, it allows simple dissection and a large vessel for easy and safe anastomosis. Seven cases are presented in which combinations of the first web anatomy for a variety of denervation injuries were used. The technique is ideally suited in those cases where no areas of island flap tissue are available for transfer.
D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery; D005383:Finger Injuries / Q000601:surgery; D005528:Foot / Q000601:surgery*; D006225:Hand / Q000098:blood supply / Q000294:innervation*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D012867:Skin / Q000098:blood supply / Q000294:innervation; D016038:Skin Transplantation; D013933:Thumb / Q000293:injuries; D014034:Toes / Q000637:transplantation; D014182:Transplantation, Autologous