Transfer of Vascularized Extensor Tendons from the Foot to the Hand with a Dorsalis Pedis Flap

Vila-Rovira, Ramón; Ferreira, B.; Guinot, Alberto

doi:10.1097/00006534-198509000-00015

Cited by 37 publications

(10 citation statements)

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“…In two patients with reconstruction of the flexor pollicis longus tendon, postoperative results were satisfactory. The mean moving 2-point discrimination of the sensory flaps was 13 mm (range [8][9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Resultsmentioning

confidence: 99%

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Radial forearm flaps for reconstruction in hand surgery

Yajima

Kobata²,

Kawamura³

et al. 2004

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Thirty-seven patients were treated using distally-based island radial forearm flaps. There were 31 men and six women. Reconstructed sites involved the dorsum of the hand (n = 17), the thumb (n = 11), the fingers (n = 5), the first web (n = 3), and the palm (n = 1). Sensory flaps were transferred in 15 cases, osteocutaneous flaps in six, and tendocutaneous flaps in eight. All the flaps survived. There were five donor-site complications, but no functional disturbances. Three patients had symptoms of cold intolerance. There were no radial fractures. In the six cases with osteocutaneous flaps, a mean of 2.6 months (range 2-3) was needed to obtain bony union. Among the eight cases with tendocutaneous flaps, postoperative tenolysis was required in two cases, and finally seven achieved a satisfactory outcome. The mean moving 2-point discrimination of the sensory flaps was 13 mm.

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Section: Resultsmentioning

confidence: 99%

“…Few adhesions developed between grafted tendons and recipient beds, except in the areas of tendon suture. Several donors have been reported for vascularised tendon grafts (7,16), of which the dorsalis pedis tendocutaneous flap has been the most common. The quality of dorsal skin of the foot is similar to that of the dorsum of the hand.…”

Section: Discussionmentioning

confidence: 99%

Radial forearm flaps for reconstruction in hand surgery

Yajima

Kobata²,

Kawamura³

et al. 2004

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…Vila-Rovira et al used a dorsalis pedis flap with an overlying vascularized extensor tendon to repair a defect on the dorsum of the hand and they achieved good functional results. However, the problems of the donor site hindered the popularity of the dorsalis pedis flap [8,12]. Foucher et al and Lovie et al presented the use of a radial and an ulnar forearm fasciocutaneous flap.…”

Section: Discussionmentioning

confidence: 99%

“…The wellvascularized tendons have the theoretical advantage of rapid healing with a possible reduction in adhesions between tendon and recipient bed as the grafts are ensheathed in their own mobile areolar tissue [9]. The vascularized tendon will probably reduce the problem of adhesions that occurs in simple tendon grafts [12]. In this case where the vascularized and the nonvascularized tendon grafts were applied together, it was seen that the gliding of the tibialis anterior tendon, reconstructed with a vascularized triceps tendon, was stared earlier (in six weeks); however, the extensor hallucis longus tendon, reconstructed with free palmaris longus tendon graft, glided later (11 weeks), although the extensor hallucis brevis tendon was intact.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of foot dorsiflexion using lateral arm free flap with vascularized triceps tendon

Akın

Özcan

1996

Eur J Plast Surg

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A lateral arm free flap including vascularized triceps tendon was transferred to reconstruct the tibialis anterior tendon and skin defects over the anterior distal third of the left cruris of a patient who was injured by gunshot. Four months after surgery, the patient walked and ran well, and dorsiflexed his ankle joint actively to 10 °. Considering cosmetic appearance, it was obvious that the flap suited the recipient area perfectly. K e y w o r d s : Foot dorsiflexion -Lateral arm free flapVascularized triceps tendon -Tibialis anterior tendon

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“…2 Since then, it has been used to reconstruct defects of the hand, head, and neck and upper and lower extremities. [3][4][5][6][7] The dorsalis pedis flap is an attractive option for free tissue transfer because of its thinness and reliability and the long vascular pedicle. 8 However, its use is limited by the donor site morbidity, which is related to the size of the flap and can be significant in some cases.…”

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confidence: 99%

The Dorsalis Pedis Fascial Flap

Ritz¹,

Mahendru²,

Somia

et al. 2009

J reconstr Microsurg

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The dorsalis pedis fasciocutaneous flap has been used successfully in soft tissue reconstruction both as a pedicled and a free flap. The long-term donor site problems associated with this dorsalis pedis flap prompted us to look at the use of the dorsalis pedis fascial flap in soft tissue reconstruction. We describe the results of our anatomic study and clinical series of the use of the dorsalis pedis fascial flap both as a free flap and a pedicled flap. An anatomic study was performed on a fresh cadaver by injecting India ink into the anterior tibial artery and the fascial and cutaneous staining pattern was documented. Soft tissue reconstruction was performed in six patients, using the dorsalis pedis fascial flap as a free flap in four patients and a pedicled flap in two. The donor site was closed primarily in all cases. The donor and recipient wounds healed well with good aesthetic and functional results. There were no major complications in our series. The dorsalis pedis fascial flap allows us to retain the essential benefits of the dorsalis pedis flap while avoiding donor site morbidity. It provides a useful source of vascularized fascia with a potentially long pedicle.

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Transfer of Vascularized Extensor Tendons from the Foot to the Hand with a Dorsalis Pedis Flap

Cited by 37 publications

References 0 publications

Radial forearm flaps for reconstruction in hand surgery

Radial forearm flaps for reconstruction in hand surgery

Reconstruction of foot dorsiflexion using lateral arm free flap with vascularized triceps tendon

The Dorsalis Pedis Fascial Flap

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