title: Coverage of big toe defects after wrap-around flap transfer with a free soleus perforator flap.
abstract: In thumb reconstruction, a wrap-around flap transfer from the big toe gives excellent results aesthetically and functionally; however, there may be some problems at the donor site, such as delayed wound healing and skin ulceration. In 10 patients, a free soleus perforator flap was used for immediate coverage of defects of the big toe with wrap-around flap procedures. Eight flaps survived completely, and the time required for wound healing was less than 1 month. Two flaps developed partial necrosis and required additional skin grafts. The average follow-up period was 46 months. There were no patients requiring defatting of the flaps. There were no patient complaints, such as postoperative skin erosion or ulceration. All patients were satisfied with the outcome. A free soleus perforator flap is an available method for covering defects of the big toe after wrap-around flap transfer.
authors.affiliation: Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Kawamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yajima
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Kobata
authors.forename: Koji
authors.initials: K
authors.lastname: Shigematsu
authors.forename: Naoki
authors.initials: N
authors.lastname: Maegawa
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Takakura
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply / Q000637:transplantation*; D017060:Patient Satisfaction; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply; D014034:Toes / Q000293:injuries* / Q000601:surgery*; D014945:Wound Healing