title: Free tissue transfer for trophic ulcer complicating leprosy.
abstract: Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients. Various loco-regional flaps have been described for reconstruction of trophic ulcers; however, very large defects are not amenable to local flaps and free flaps form one of the important treatment options. We present a case of a post Hansen's trophic ulcer over the forefoot managed using a radial artery forearm free flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial as the recipient vessel and good postoperative compliance in foot care on the part of the patient gave us good results.
authors.affiliation: Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India.
authors.forename: Yogesh C
authors.initials: YC
authors.lastname: Bhatt
authors.forename: Nikhil S
authors.initials: NS
authors.lastname: Panse
authors.forename: Kinnari A
authors.initials: KA
authors.lastname: Vyas
authors.forename: Gunjan A
authors.initials: GA
authors.lastname: Patel