Coverage of defect over toes after failure of microsurgical replantation with medial sural artery perforator flap: A case report

Gordon Lee, Eui Chul Jeong

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In this report, we present a case of toe reconstruction with a medial sural artery perforator free flap after failure of replantation. A 35-year-old male suffered a crush injury from a heavy object falling over the left 1st, 2nd, and 3rd toes and underwent microsurgical replantation of the toes at an outside facility. Over the next 2 weeks, ischemic necrosis of all the toes developed. This condition was very frustrating for the patient who had very high expectations of preserving the toes, and also for the surgeon to determine the optimal method to reconstruct the distal foot and toes. After debridement of non-viable tissues, the defect over the toes was resurfaced using a medial sural artery perforator free flap and full thickness skin graft. Subsequently, several minor operations, including interdigitation, excision of neuromas, and defatting procedure were performed to complete his reconstruction. Eighteen months later, the patient had very aesthetically pleasing and fully functional toes. A medial sural artery perforator free flap may be used to repair the soft tissue defect on the toes after failed replantation, and provides sufficient skin.

Original languageEnglish
Pages (from-to)161-164
Number of pages4
JournalMicrosurgery
Volume36
Issue number2
DOIs
StatePublished - 1 Feb 2016

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Perforator Flap
Replantation
Toes
Arteries
Free Tissue Flaps
Accidental Falls
Neuroma
sural
Skin
Debridement
Foot
Necrosis
Transplants

Cite this

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Coverage of defect over toes after failure of microsurgical replantation with medial sural artery perforator flap : A case report. / Lee, Gordon; Jeong, Eui Chul.

In: Microsurgery, Vol. 36, No. 2, 01.02.2016, p. 161-164.

Research output: Contribution to journalArticle

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