Soft tissue coverage options for dorsal foot wounds

Joseph M. Serletti, Steven L. Moran

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

The soft tissue of dorsum of the foot consists of a thin pliable surface that allows for significant excursion and tendon gliding. Reconstructive options must preserve these important functions and allow for reasonable contour so the patient may wear a shoe postoperatively. Special attention must be given to the mechanism of injury and overlying pathophysiology involved with each wound. Local flaps can provide adequate wound coverage in settings in which the vasculature and subcutaneous structures have been preserved. In wounds in which the regional vascularity is compromised or in which tendon and bone have been lost, a free-tissue transfer can provide for more substantial coverage. The multiple options available with free-tissue transfer allows for the possibility of composite tissue transfer, including vascularized bone or tendon, and the ability to create a sensate flap with excellent contour.

Original languageEnglish (US)
Pages (from-to)839-851
Number of pages13
JournalFoot and Ankle Clinics
Volume6
Issue number4
DOIs
StatePublished - Dec 2001

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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