Extensor digitorum brevis muscle flap using parallel incision.
A single incision is generally used to dissect the extensor digitorum brevis (EDB) muscle flap. However, in addition to exposure difficulties, this single incision may cause problems at donor sites, since both the dorsalis pedis vascular bundle and the sinus tarsi branch of the lateral tarsal artery require careful dissection. Thus, we modified the approach by using two parallel longitudinal incisions to expose the dorsalis pedis vascular bundle and the sinus tarsi branch of the lateral tarsal artery separately. Using this modified parallel-incision EDB muscle flap, we were able to reduce the operation times and donor site skin complications.
Kim
Jae Kwang
JK
Department of Orthopedic Surgery, School of Medicine, Ewha Womans University, Seoul, Korea.
Choi
Soo Joong
SJ
Chung
Moon Sang
MS
Baek
Goo Hyun
GH
D000328:Adult; D017719:Diabetic Foot / Q000601:surgery*; D004210:Dissection; D005528:Foot / Q000601:surgery*; D018409:Foot Injuries / Q000601:surgery*; D006214:Hallux / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D013524:Surgical Flaps / Q000098:blood supply*; D020858:Tissue and Organ Harvesting / Q000379:methods; D055815:Young Adult