Superficial Circumflex Iliac Perforator–Osteocutaneous Flap for Reconstruction of Extensive Composite Defects in the Forefoot
| Title: | Superficial Circumflex Iliac Perforator–Osteocutaneous Flap for Reconstruction of Extensive Composite Defects in the Forefoot |
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| Authors: | Shuji Yamashita, MD, PhD, Yoshitsugu Hattori, MD, Yoko Tomioka, MD, PhD, Masakazu Kurita, MD, PhD, Shimpei Miyamoto, MD, PhD, Takuya Iida, MD, PhD, Mutsumi Okazaki, MD, PhD |
| Source: | Plastic and Reconstructive Surgery, Global Open, Vol 8, Iss 8, p e3076 (2020) |
| Publisher Information: | Wolters Kluwer, 2020. |
| Publication Year: | 2020 |
| Collection: | LCC:Surgery |
| Subject Terms: | Surgery, RD1-811 |
| More Details: | Summary:. Although the great toe plays important roles in walking, loading, and maintaining balance when compared with other toes, there are few reports on great toe reconstruction, including the reconstruction of distal phalanx. This report aims to describe the use of a superficial circumflex iliac artery perforator (SCIP)–osteocutaneous flap for reconstructing a complex tissue defect of the great toe. A 62-year-old man presented with a crush injury to the forefoot. Because the great toe was severely crushed, the defect distal to the proximal phalanx of the great toe was reconstructed using a SCIP-osteocutaneous flap. The immediate postoperative course was uneventful; however, surgical revision was necessary. Signs of osseous union could be observed on radiographic images taken 2 months after the initial surgery. Twenty-four months after surgery, the patient could freely walk without resorption of the transferred bone. We demonstrated that SCIP-osteocutaneous flaps may be promising free flaps in complex tissue defect reconstruction of the great toe. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2169-7574 00000000 |
| Relation: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003076; https://doaj.org/toc/2169-7574 |
| DOI: | 10.1097/GOX.0000000000003076 |
| Access URL: | https://doaj.org/article/a403eb73ab954513983d1247088a4379 |
| Accession Number: | edsdoj.403eb73ab954513983d1247088a4379 |
| Database: | Directory of Open Access Journals |
| ISSN: | 21697574 00000000 |
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| DOI: | 10.1097/GOX.0000000000003076 |
| Published in: | Plastic and Reconstructive Surgery, Global Open |
| Language: | English |