Adipofascial turn-over flap for reconstruction of the dorsum of the foot.
Local adipofascial turn-over flaps with skin grafts were successfully used to reconstruct complicated skin defects over the dorsum of the foot in 7 patients. The blood supply of the flap comes from perforators in the base and from the surrounding subcutaneous and fascial plexuses. A new concept of base-to-flap area ratio is proposed to predict the survival of the turn-over flaps in addition to the conventional base-to-length ratio. This appears to be a valuable technique for difficult wounds of the dorsum of the foot.
Division of Plastic and Reconstructive Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan, Republic of China.
C S
CS
Lai
S D
SD
Lin
C C
CC
Yang
C K
CK
Chou
D000328:Adult; D000368:Aged; D002675:Child, Preschool; D005260:Female; D018409:Foot Injuries; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000098:blood supply; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000379:methods*