Cincinnati Incision Combined With Medial Rotation Fasciocutaneous Flap for Clubfeet With Pathologic Soft Tissues

Szabó, György; Mester, Sándor; Tóth, Ferenc

doi:10.3928/0147-7447-20050401-09

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…D'Souza DD et al have devised a rotation fasciocutaneous flap ( 5 ) that they found to be technically easy, scientifically logical, reproducible, and effective. Gyorgy Szabo et al found that the medial rotation fasciocutaneous flap can be effectively combined with the Cincinnati incision ( 6 ). Similarly Khan and Chinoy treated severely deformed club feet by making double zig-zag incisions (over medial foot and tendo Achilles) with no significant complications ( 7 ).…”

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Post clubfoot release skin necrosis: a preventable disaster

Salati¹,

Aithan²

2011

Libyan Journal of Medicine

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Complications of pedal wounds closed primarily after release of neglected cases of club foot are well known in literature. We treated a 12-year-old boy presenting with widespread necrosis involving medial aspect of foot after release of neglected talipes equinovarus. Such widespread necrosis is even known to end up in amputations and permanent disabilities. In our case, the foot was successfully salvaged by resorting to dedicated wound care, multiple debridements, use of topical negative pressure (vacuum-assisted closure – VAC), and skin grafting. Various means to prevent such adverse events are also presented. The aim of publishing this case is to stress the need to:Take proper measures preoperatively in neglected club feet to decrease the impact of deformity.To be aware of various different flaps and methods of closure as mentioned in literature and to reaffirm the fact that primary closures done under tension are bound to fail and end up in disasters.To be patient and use the modern concepts of wound management like topical negative pressure if such unfortunate complications do occur and thereby attempt to salvage the feet.

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confidence: 99%

Post clubfoot release skin necrosis: a preventable disaster

Salati¹,

Aithan²

2011

Libyan Journal of Medicine

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Technical details of using sural flap in pes equinovarus surgery: a preliminary report on the technique

Isik

Ceylan

Güner

et al. 2011

Eur J Orthop Surg Traumatol

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Pes equinovarus is a congenital disease that can be successfully treated with serial casting and percutaneous achillotomy at the newborn stage in most of the cases. Complex surgical interventions are required for patients presenting at advanced age for correction of this deformity. The main problem encountered in the treatment for neglected pes equinovarus cases is repairing the posteromedial skin defect of the ankle due to surgical correction of this deformity. The sural Xap is frequently used in the repair of a number of skin defects on the ankles, although reports on the use of this Xap in pes equinovarus surgery are scarce. In this article, the technical details of sural Xap application in cases with neglected pes equinovarus and the preliminary results of three extremities treated with this method have been presented.

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