The use of a subcutaneous fat flap in the reconstruction of the outer metatarsal region Recent studies have proved that subcutaneous tissue has its own blood supply. The vessels run horizontally and supply areas of variable extension. The survival of a subcutaneous fat flap depends therefore not only on casual blood supply from the skin, but on direct subcutaneous arteries which point at the presence of areas with a 'high degree of axiality'. The treatment of integumental losses of tissue of the outer metatarsal region, in particular of the metatarsophalangeal area, can be difficult because of the limited choice of reconstructive methods. Herein are presented two cases of dystrophic and painful lesions; of these, one resulted from an electric burn and the other from inappropriate radiotherapy. In both cases reconstruction was achieved with a subcutaneous fat flap with a distal pedicle, obtained from the foot dorsum and rotated over the loss of tissue. Results prove that both parts are viable and support the effectiveness of this type of surgery.
|Number of pages||7|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1995|
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