Free Dorsalis Pedis Flap Research Articles

The Clinical Study of Free Dorsalis Pedis Flap by Microsurgery

The Clinical Study of Free Dorsalis Pedis Flap by Microsurgery

Use of the dorsalis pedis free flap for reconstruction of the hand

Use of the dorsalis pedis free flap for reconstruction of the hand

Free Dorsalis Pedis Flaps for Secondary Reconstruction of the Mutilated Hand

Free Dorsalis Pedis Flaps for Secondary Reconstruction of the Mutilated Hand

Use of the dorsalis pedis free flap for reconstruction of the hand

Neurovascular free flaps from the dorsum of the foot provide not only full-thickness cover with innervation but also rich blood supply to the damaged part. This report describes our experience with seven instances of free dorsalis pedis flap transfers applied for restoring sensation to the mutilated hand. The dorsalis pedis free flaps have advantages in reconstruction of the mutilated hand, when no local island tissues are available for transfer.

Management of island and free dorsalis pedis flaps in surgery of the lower extremities

Management of island and free dorsalis pedis flaps in surgery of the lower extremities

New procedure on making a thumb—One-stage reconstruction with free neurovascular flap and iliac bone graft

A new method for reconstruction of an amputated thumb with a free neurovascular flap and an iliac bone graft in one stage is described. The method consists of four operative steps: (1) preparation of the recipient hand, (2) elevation of a free dorsalis pedis flap, (3) iliac bone graft, and (4) transfer of the flap with microvascular anastomoses. Four successful results with this operation are presented. The method, which reconstructs the thumb in a single operation, is suitable for patients who refuse other reconstructive methods which sacrifice uninjured digits or toes.

Reconstruction of the floor of the mouth by a free dorsalis pedis flap with microvascular anastomosis

Reconstruction of the floor of the mouth by a free dorsalis pedis flap with microvascular anastomosis

Reconstruction of the floor of the mouth by a free dorsalis pedis flap with microvascular anastomosis

A new one stage technique for reconstruction of the floor of the mouth is described, using the free dorsalis pedis artery flap. Five cases are presented in this series, the indications, implications, possibilities and technique of this free flap in the intra-oral region are discussed.

Experiences in microsurgery in the People's Republic of China

In 1963, the successful replantation of an upper extremity amputated at the forearm provided the impetus for great interest in this surgical procedure in the People's Republic of China. In the 16 years since that time, much progress has been made, especially after the introduction of microsurgical techniques. Prior to 1973, replantation of digits was performed 443 times under the naked eye, with a digit survival rate of 51%. Since 1973, 92 replantations have been done under the microscope, with a digit survival rate of 91%. Experience is also recorded for free abdominal skin grafts, toe transplants for thumb and finger reconstruction, free dorsalis pedis flaps, free vascularized fibular transplants, free muscle transplants, jejunal transplants for esophageal defects, combined free grafts of the omentum and skin for repair of scalp, cranial, and extremity defects, and extracranial-intracranial blood flow diversion.

Total Rhinoplasty with a Free Osteocutaneous Flap

A new approach to total rhinoplasty, using a free dorsalis pedis flap containing part of the second metatarsal bone, is reported.

Use of the Free Dorsalis Pedis Flap in Head and Neck Repairs

Many defects of the head and neck can be readily repaired with a free dorsalis pedis flap, and we report success with these flaps in 9 of 12 cases. A precise knowledge of the anatomy of the arterial supply of the flap is necessary. Preoperative arteriography is recommended if the dorsalis pedis artery is not easily palpable, or if an anomalous distribution of the artery along the dorsum of the foot is sus pected. However, the transfer of the flap should be delayed for two weeks after preoperative arteriography is performed. The one-stage soft tissue reconstruction with a free dorsalis pedis flap has been associated with minimal morbidity and good acceptance by patients. A delay procedure for the flap seems to enhance the chances of complete survival which is so necessary in the repair of intraoral and pharyngeal defects. Careful attention to details and close monitoring of the flap will minimize morbidity. In case of an early failure of a flap, a secondary reconstruction by a different flap can be done in the first 48 to 72 hours. Early postoperative radiotherapy has been well tolerated over these free flaps.

Evaluation of the Dorsalis Pedis Free Flap Donor Site by Angiography

Six patients were evaluated by angiography for dorsalis pedis free flap transfer because the course of the dorsalis pedis artery could not be traced by palpation. Two were subsequently excluded because they showed vascular occlusions. Successful transfer depends on the dorsalis pedis artery and its branches being intact, while healing of the donor site depends on the function of the posterior tibial artery. Angiography was found to be helpful in determining both of these factors.

A free dorsalis pedis flap from the other foot combined with a dorsalis pedis pedicle flap from the same foot to close foot ulcers

The dorsalis pedis flap has several advantages: the skin is thin and hairless, a long vascular pedicle with relatively large diameter vessels is available, and a cutaneous nerve supply is also available if needed. It may be used as a free flap or as a local pedicle flap; we have combined both methods in 2 patients.

RECONSTRUCTION OF THE FLOOR OF THE MOUTH WITH A FREE DORSALIS PEDIS FLAP

The dorsalis pedis flap used for immediate reconstruction in two patients after resection of cancers of the floor of the mouth. The procedure has much to recommend it in the immediate repair of such defects.

Chimeric Flap for Reconstruction of Severe Traumatic Injuries of the Hand (a Case Report)

Background: Injuries of the hand, including loss of digits, are devastating events. Patients often require multiple operative procedures, with prolonged recovery periods. The challenge for the reconstructive surgeon is to minimize the number of operations, shorten the recovery period, and restore the function and aesthetic appearance of the hand. When faced with a difficult reconstruction, the expense, morbidity of the donor site, and operative time must be taken into consideration. The chimeric composite flaps is combination of microanastomoses consist of two flaps or tissue, each with an isolated pedicle and a single vascular source. Patients and Methods: We reported a case of 32-year-old man presenting with skin defect of hand, flexor and extensor tendon expose due to traffic accident after passed critical event and debridement we did chimeric flaps consist of free radial forearm flap and free dorsalis pedis flap based on radial pedicle system and dorsalis pedis pedicle system. Result: 2 weeks postoperative, flap were vital with satisfactory functional and aesthetic outcome and almost all of graft was take as well as all of donor site graft.Summary: In selected cases, the chimeric flap is a good option for the reconstruction of extensive, composite, and three-dimensional defects.