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Archives of Orthopaedic and Trauma Surgery

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01-08-2008 | Trauma Surgery

Osteo-fasciocutaneous parascapular flap transfer for reconstruction of the first ray of the foot

Authors: C. Roll, L. Prantl, M. Nerlich, B. Kinner

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2008

Abstract

Background

Severe bone and soft tissue defects of the first metatarsal bone after trauma, tumor resection or osteomyelitis are challenging to treat. Partial amputation of the foot may be the consequence. However, due to its significance for gait, salvage of the first ray should be considered, whenever possible. One option for bone and soft tissue reconstruction, therefore, might be an osteo-fasciocutaneous parascapular flap transfer.

Methods

Five patients with bone and soft tissue defects of the first ray of the foot but intact MTP joint were treated with osteo- fasciocutaneous parascapular flap transfer, two after tumor resection, and three after severe bone and soft tissue trauma. Patients were followed for 12–36 months clinically and radiologically.

Results

All flaps survived. One revision was necessary because of venous thrombosis, which was treated successfully by thrombectomy and patch plastic. All osteosyntheses united and the scapular bone transplant adapted nicely to the new loading conditions. All patients were content with the result and would agree to have the operation again. Two patients were able to stand tiptoe and go jogging, one patient still had limitations of ADLs due to the concomitant injuries.

Conclusion

The osteo- fasciocutaneous flap proved to be very versatile and safe for foot reconstruction due to its favorable vascular anatomy. In all patients (partial), amputation of the foot could be avoided.

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Title: Osteo-fasciocutaneous parascapular flap transfer for reconstruction of the first ray of the foot
Authors: C. Roll
L. Prantl
M. Nerlich
B. Kinner
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 8/2008
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-008-0592-z

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Osteo-fasciocutaneous parascapular flap transfer for reconstruction of the first ray of the foot

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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