PDF herunterladen
CC BY-NC-ND 4.0 · Indian J Plast Surg 2009; 42(01): 115-117
DOI: 10.1055/s-0039-1699325
Case Report
Association of Plastic Surgeons of India

Free tissue transfer for trophic ulcer complicating leprosy

Yogesh C. Bhatt
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
,
Nikhil S. Panse
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
,
Kinnari A. Vyas
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
,
Gunjan A. Patel
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
15. Januar 2020 (online)

Auch verfügbar auf
  als PDF herunterladen Lizenzen und Reprints

ABSTRACT

Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients. Various loco-regional flaps have been described for reconstruction of trophic ulcers; however, very large defects are not amenable to local flaps and free flaps form one of the important treatment options. We present a case of a post Hansen's trophic ulcer over the forefoot managed using a radial artery forearm free flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial as the recipient vessel and good postoperative compliance in foot care on the part of the patient gave us good results.

KEY WORDS

Free flap - Post Hansen's trophic ulcer - Nonsensate foot
 

  • REFERENCES

  • 1 Price EW. The problem of plantar ulcer. Lepr Rev 1964;35: 267-72.
  • 2 Fritschi EP. Ulcers of the foot and their sequelae. In: Surgical reconstruction and rehabilitation in leprosy. 2nd ed. New Delhi: The Leprosy Mission; 1984. p. 182-226.
  • 3 Prakash, Vishwa. Flaps that should not be used in plantar ulcer in leprosy. Plast Reconstr Surg 1999;103:333-4.
  • 4 Gahalaut P, Pinto J, Pai G, Kamath J, Joshua TV. A novel treatment for plantar ulcers in leprosy: Local superficial flaps. Lepr Rev 2005;76:220-31.
  • 5 Reiffel RS. Plantar artery-skin-fascia flap. In: Strauch B, Vasconez LO, Hall-Findlay EJ, editors. Grabbs encyclopedia of flaps. Vol 3. 2nd ed. Philadelphia: Lippincott-Raven; 1998. p. 1843-7.
  • 6 Martin D, Gorowitz B, Peres JM, Baudet J. Medial plantar flap. In: Strauch B, Vasconez LO, Hall-Findlay EJ, editors. Grabbs encyclopedia of flaps. Vol 3. 2nd ed. Philadelphia: Lippincott-Raven; 1998. p. 1848-50.
  • 7 Gravem PE, Role of flaps and skin grafts in the management of neuropathic plantar ulcers. In: Schwartz R, Bradsman W, editors. Surgical reconstruction and rehabilitation in leprosy and other neuropathies. Kathmandu: Ekta Books Distributors Pvt Ltd; 2004. p. 227-36.
  • 8 Searles J, Colen L. Foot reconstruction in diabetes mellitus and peripheral vascular insufficiency. Clin Plast Surg 1991;18:467-83.
  • 9 Sauer PF. Blood Supply of the lower extremity. Clin Plast Surg 1991;18:553-7.