title: Extended lateral supramalleolar flap for very distal foot coverage: a case with arteriovenous malformation.
abstract: Arteriovenous malformation of the foot is very uncommon, and surgical closure after its treatment with embolization and total excision may be challenging for the foot surgeon, particularly in distally localized lesions. A popular method to cover these difficult wounds is free-tissue transfer, which is a highly demanding procedure. Alternatively, distally based regional flaps have been occasionally reported for clinical use in such distant foot defects. Herein, we present a 36-year-old female patient with a diagnosis of arteriovenous malformation arising in the distal medial plantar and dorsal surfaces of the right foot. After surgical resection of the vascular lesion preceded by a misapplied embolization procedure, an extended lateral supramalleolar flap was successfully transferred to the defect area, covering it completely. Functional and aesthetic outcome was satisfactory after 6 months follow-up. Extended lateral supramalleolar flap is a useful and reliable choice for distal foot reconstructions.
authors.affiliation: Reconstructive and Aesthetic Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey. agirhakan@yahoo.com
authors.forename: Hakan
authors.initials: H
authors.lastname: Agir
authors.forename: Cenk
authors.initials: C
authors.lastname: Sen
authors.forename: Murat
authors.initials: M
authors.lastname: Onyedi
mesh_terms: D000328:Adult; D001165:Arteriovenous Malformations / Q000601:surgery*; D005260:Female; D005528:Foot / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D013524:Surgical Flaps; D016896:Treatment Outcome