Use of a combined pedicled toe fillet flap.
We report the use of a double toe fillet flap combined with reconstruction of the joint capsule of the metatarsal proximal phalanx (MP) in a diabetic patient with a chronic persistent deep plantar ulcer and an avulsed third MP joint. Not only was the soft tissue defect dealt with, but also the stability of the MP joint was increased by the vascularised extensor tendon provided by the pedicled toe fillet flap.
Kalbermatten
Daniel F
DF
Department of Plastic and Reconstructive Surgery, University of Basel, CH-4031 Basel, Switzerland. daniel.kalbermatten@bluewin.ch
Kalbermatten
Natalie T
NT
Haug
Martin
M
Schäfer
Dirk
D
Pierer
Gerhard
G
D000368:Aged; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D017719:Diabetic Foot / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control; D008683:Metatarsophalangeal Joint / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology