[Use of Extensor digitorum brevis flap in routine reconstructive surgery of lower limbs. Report of more than 50 cases].
The authors report their experience about more than 50 patients with soft tissue defects in the area of the lower leg, of the ankle and of the dorsal aspect of the foot and toes, managed with the Extensor digitorum brevis flap. We have most often performed it with a proximal pedicle. Healing was obtained for all case. Infections of malleola have been treated thank to the better delivery of antibiotics. The donor site shows often delayed healing, but in one case, the harvestment area has presented a complete necrosis, which healed with immobilisation of the ankle with external fixator and dressings. At last, we insist on the fast learning of the procedure and the aim to use it in humanitary mission.
Chateau
F
F
Service de chirurgie de la main et reconstructrice des membres, hôpital de la Conception, Marseille, France. chateaufc@yahoo.fr
Chabas
J-F
JF
Niddam
J
J
Guinard
D
D
Legré
R
R
D000842:Ankle / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001458:Bandages; D016267:External Fixators; D005528:Foot / Q000601:surgery*; D018409:Foot Injuries / Q000473:pathology / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery*; D007869:Leg Injuries / Q000473:pathology / Q000601:surgery; D009336:Necrosis; D012086:Reoperation; D017695:Soft Tissue Injuries / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps / Q000473:pathology / Q000601:surgery*; D013530:Surgical Wound Infection / Q000601:surgery; D020858:Tissue and Organ Harvesting / Q000379:methods; D014034:Toes / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology
D000900:Anti-Bacterial Agents