title: Moving car-tire injuries of the foot: reconstruction with microvascular free flaps.
abstract: Moving car-tire injury of the foot is a condition that appears to be a new clinical entity in Istanbul, in which the non-weight-bearing surface of the foot is prone to be injured. Between 1992 and 1995, eight moving car-tire injuries of the foot were managed. Patient age averaged 10.25 years (range: 7 to 21 years). All patients presented with soft-tissue loss combined with extensor tendon and bone lesions. In 6 patients, immediate flap coverage after initial debridement and, in 2 patients, delayed coverage after multiple debridements, were performed. All the flaps survived. Although in all patients, the weight-bearing region was always intact, some had gait-pattern abnormalities due to the bone and soft-tissue injuries. Early removal of all devitalized tissues and closure of the wounds with transfer of healthy tissue have a higher rate of success, lower incidence of infection, require fewer operative procedures, and shorter hospitalizations.
authors.affiliation: Istanbul Hand Surgery and Microsurgery Center, Aksaray Vatan Hospital, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Nuzumlali
authors.forename: C
authors.initials: C
authors.lastname: Gürbüz
authors.forename: U
authors.initials: U
authors.lastname: Kantarci
authors.forename: S
authors.initials: S
authors.lastname: Cepel
authors.forename: O
authors.initials: O
authors.lastname: Bayri
authors.forename: O
authors.initials: O
authors.lastname: Polatkan
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005528:Foot / Q000601:surgery; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps / Q000379:methods*