The Reconstruction of Foot Soft Tissue Defects by Tangential Debulking of the Latissimus Dorsi Flap

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dc.contributor.authorParmaksizoglu, Ahmet Fatih
dc.contributor.authorUnal, Mehmet Bekir
dc.contributor.authorCansu, Eren
dc.date.accessioned2024-07-12T21:51:25Z
dc.date.available2024-07-12T21:51:25Z
dc.date.issued2011en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractReconstruction of foot soft tissue is challenging particularly in the presence of a large defect involving both dorsal and plantar surfaces. In large defects, use of a latissimus dorsi muscle (LDM) flap is the preferred coverage method, yet LDM flaps are bulky. Despite undergoing multiple debulking procedures, patients whose feet are repaired with LDM flaps must wear oversized custom-made shoes. We developed an approach to allow patients to wear regular shoes. In six patients, we used a debulking procedure that was based on tangential trimming of the flap to the level of thickness required for normal foot contour. All patients underwent debulking 3 months after initial LDM flap coverage. The mean duration of follow-up care was 21 months (range, 8 to 32 months). All flaps survived a secondary debulking procedure. One patient developed an ulcer at the weight-bearing area of a sole. All six patients were able to wear regular shoes without difficulty.en_US
dc.identifier.doi10.1055/s-0031-1272961
dc.identifier.endpage214en_US
dc.identifier.issn0743-684X
dc.identifier.issue4en_US
dc.identifier.pmid21328193en_US
dc.identifier.scopus2-s2.0-79955476479en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage211en_US
dc.identifier.urihttps://dx.doi.org/10.1055/s-0031-1272961
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8263
dc.identifier.volume27en_US
dc.identifier.wosWOS:000289788800001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTHIEME MEDICAL PUBL INCen_US
dc.relation.ispartofJOURNAL OF RECONSTRUCTIVE MICROSURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY02027
dc.subjectFooten_US
dc.subjectsoft tissueen_US
dc.subjectreconstructionen_US
dc.subjectfree flapen_US
dc.subjectdebulkingen_US
dc.titleThe Reconstruction of Foot Soft Tissue Defects by Tangential Debulking of the Latissimus Dorsi Flapen_US
dc.typeArticle
dspace.entity.typePublication

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