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Toe resurfacing with a thin thoracodorsal artery perforator flap

Title
Toe resurfacing with a thin thoracodorsal artery perforator flap
Author
김연환
Keywords
WRAP-AROUND FLAP; LATISSIMUS-DORSI; GREAT TOE; EXTREMITY RECONSTRUCTION; DONOR SITE; DEFECTS; FOOT
Issue Date
2017-05
Publisher
WILEY
Citation
MICROSURGERY, v. 37, no. 4, page. 312-318
Abstract
Background: In toe reconstruction, amputation procedures are much more common than salvage procedures. However, toe resurfacing, rather than amputation, provides superior functional and aesthetic results. In this study, we report the clinical outcomes of toe resurfacing using a thin thoracodorsal artery perforator flap. Patients and methods: Between January 2004 and June 2013, a total of 15 patients underwent toe resurfacing using thoracodorsal artery perforator flaps. Thin flaps were harvested by discarding the deep adipose layer. Twelve cases involved a great toe defect, three, a second toe defect, three, a third toe defect, and one, a fourth toe defect. Patient ages ranged from 19 to 82 years (mean, 42.9 years). The mechanism of injury varied, including crushing injury, degloving injury, and diabetic foot infection. Results: The size of thoracodorsal artery perforator flap ranged from 4 x 3 to 20 x 8 cm(2) and the thickness of the flap ranged from 4 to 9 mm (mean, 6.5 mm). All flap survived completely without complications. The mean follow-up period was 18.8 months (range, 12-60 months). Only one patient with rheumatoid arthritis had mild gait disturbance. All patients were satisfied with the aesthetic and functional results. Conclusion: Toe resurfacing with thin thoracodorsal artery perforator flaps appears to be a safer and more reliable option than amputation for preserving their function. (C) 2015 Wiley Periodicals, Inc.
URI
https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.30007https://repository.hanyang.ac.kr/handle/20.500.11754/114177
ISSN
0738-1085; 1098-2752
DOI
10.1002/micr.30007
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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