PMC3871676_01
Preoperative view of extensive soft tissue defect of the dorsum and weight-bearing sole of the foot with exposure of the transverse tarsal joint.
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No ulceration occurred during a 36 month follow-up (Fig. 1-5).
The ALT flap (20x16 cm) was designed according to a template made from the area of the defect.
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No ulceration occurred during a 36 month follow-up (Fig. 1-5).
Intraoperative view after elevation of the ALT septocutaneous perforator flap.
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No ulceration occurred during a 36 month follow-up (Fig. 1-5).
Appearance 15 days after operation with complete flap survival.
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No ulceration occurred during a 36 month follow-up (Fig. 1-5).
Appearance 14 months after debulking procedure.
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No ulceration occurred during a 36 month follow-up (Fig. 1-5).
PMC3871676_02
Preoperative view of extensive soft tissue defect of the dorsal foot with exposed tendon and bone.
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The flap survived completely and the result was satisfactory (Fig. 6-8).
Intraoperative view after elevation of the thinned ALT musculocutaneous perforator flap.
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The flap survived completely and the result was satisfactory (Fig. 6-8).
Early postoperative view of the flap.
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The flap survived completely and the result was satisfactory (Fig. 6-8).
PMC3871676_03
Preoperative view of extensive soft tissue defect of the degloved foot.
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The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
The thinned ALT flap (25x16 cm) was designed according to a template made from the area of the defect.
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The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
The elevated thinned ALT flap with three perforators surrounded by small cuffs of deep fascia.
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The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
Appearance 12 days after operation with complete flap survival.
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The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
Three month follow-up with healed tissue envelope.
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The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
PMC3871676_04
Preoperative view of extensive soft tissue defect over the hind foot and medial ankle.
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A visual gait analysis showed only minor abnormalities and the patient was not hindered from running (Fig. 14-17).
Design of the ALT flap (24x16 cm).
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A visual gait analysis showed only minor abnormalities and the patient was not hindered from running (Fig. 14-17).