Reconstruction of the great toe in a child using the Y-V pedicle elongation technique for a medial plantar flap.
The authors report a case of reconstruction of a great toe in a young boy, following amputation proximal to the IP joint and exposure of the MP joint. A local flap was chosen for its lesser morbidity, and plantar skin was selected as optimal coverage for weight-bearing surfaces on the first ray. Very few local flaps fulfill these conditions. The Y-V technique of elongation of a vascular pedicle, first described by Martin in 1991, was used to bring a medial plantar flap to the toe, doubling its normal arc of rotation distally. Technical points are highlighted and outcome is reported at 18 months follow-up.
Salon
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Paediatric Orthopaedic Department, Hôpital Necker Enfants Malades, Paris, France.
Pouliquen
J C
JC
D000671:Amputation, Surgical; D002648:Child; D006214:Hallux / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps