Free medial plantar artery flap for the reconstruction of great toe pulp.
The great toe is an important body structure both functionally and cosmetically. The defect over the great toe is very challenging to treat. Our patient was a 9-year-old boy, presenting with posttraumatic loss of partial right great toe pulp. The mode of injury was the toe getting caught in the cycle wheel and sustaining amputation of the plantar aspect of the great toe. The great toe with exposed bone was reconstructed with a free medial plantar artery flap, harvested from the same limb. To our best knowledge, this was the first reported case of free medial plantar artery flap used for the reconstruction of great toe defects.
Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala 680007, India. Electronic address: drjosh4u@gmail.com.
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RB
Jyoshid
Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala 680007, India.
Harsha
H
Vardhan
Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala 680007, India.
Francis
F
Anto
D000673:Amputation, Traumatic / Q000601:surgery*; D001642:Bicycling / Q000293:injuries; D002648:Child; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000175:diagnosis / Q000601:surgery; D058752:Free Tissue Flaps / Q000098:blood supply* / Q000637:transplantation; D006085:Graft Survival; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D064827:Myocutaneous Flap / Q000098:blood supply / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D014034:Toes / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
Free medial plantar artery flap; Great toe; Pulp defect