L'IMPIEGO DEI LEMBI ADIPOSI SOTTOCUTANEI NELLA RICOSTRUZIONE DELLA REGIONE METATARSALE ESTERNA DEL PIEDE

Translated title of the contribution: The use of a subcutaneous fat flap in the reconstruction of the outer metatarsal region

L. Vaienti, C. Azzolini, A. Fumagalli

Research output: Contribution to journalArticle

Abstract

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.

Translated title of the contributionThe use of a subcutaneous fat flap in the reconstruction of the outer metatarsal region
Original languageItalian
Pages (from-to)383-389
Number of pages7
JournalRivista Italiana di Chirurgia Plastica
Volume27
Issue number3
Publication statusPublished - 1995

ASJC Scopus subject areas

  • Surgery

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