Restoration of sensation in paraplegia by a sensory innervated plantar fillet free flap. Case report.
Sensory denervation most likely is the key factor to the multiple physiological derangements that predispose paraplegic patients to recurrent decubitus ulceration. A sensory innervated plantar free flap offers the ability to provide soft tissue coverage and to regain sensory innervation of the ulcer prone area in patients with recurrent ulceration. We present a patient in which an innervated plantar free flap was used to restore sensation to the sacral area in a patient with recurrent ulceration.
Goldberg
J A
JA
Missouri Bone & Joint Clinic, St Louis 63044, USA.
Barwick
W J
WJ
Levin
L S
LS
D006801:Humans; D008297:Male; D008875:Middle Aged; D009412:Nerve Fibers; D010264:Paraplegia; D003668:Pressure Ulcer / Q000150:complications* / Q000628:therapy*; D012683:Sensory Deprivation; D013524:Surgical Flaps; D013977:Tibia