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  • Title: [Reconstruction of forefoot skin defect with island flap pedicled with lateral tarsal artery].
    Author: Zhang JC, Zhang W, Xia XM, Zhang L, Han JB.
    Journal: Zhonghua Zheng Xing Wai Ke Za Zhi; 2012 Sep; 28(5):347-9. PubMed ID: 23259309.
    Abstract:
    OBJECTIVE: To investigate the therapeutic effect of island flap pedicled with lateral tarsal artery for forefoot skin defect. METHODS: From March 2007 to January 2009, 12 cases with forefoot skin defects were treated by reversed island flap pedicled with lateral tarsal artery. RESULTS: All the flaps survived completely with a followed-up period of 8-22 months, 13 months in average. The flaps and skin grafts had soft texture and a similar color as the surrounding skin. The flaps had a suitable thickness with deep pain sensation. Shallow touch and pain sensation recovered in the skin graft and within 1-2 cm of the flap edge, which was graded as S1-S2. There was no problem in shoes-wearing and walking. No flap ulcer happened. CONCLUSION: Island flap pedicled with lateral tarsal artery is suitable for forefoot skin defect, leaving less morbidity to donor site.
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