The problem of bilateral foot reconstruction after severe burns.
Reconstruction of bilateral, distal lower limb defects presents a major reconstructive challenge. In the patient with a major burn injury, however, the problem of bilateral foot reconstruction is compounded by both the limited availability of normal unscarred donor sites and by the limited availability of recipient vessels. A case is presented where bilateral dorsum of foot defects in a patient with a 50% surface area burn were successfully reconstructed using a single parascapular free flap. The problems presented by this case are discussed.
O'Shaughnessy
M
M
Welsh Regional Centre for Burns, Plastic and Maxillofacial Surgery, St Lawrence Hospital, Chepstow, Wales, UK.
Zinn
A G
AG
Vidal
P
P
Milling
M A
MA
D000328:Adult; D002056:Burns / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000379:methods*