1/2. Indication, technique, and results of plantaris medialis neurovascular island flaps.Treatment of soft tissue defects in the heel often causes problems because of the anatomical structures of the foot and the foot's function in bearing the entire weight of the body. Various types of flap surgery have been tried, to deal with these problem areas. As ever, all the skin flaps lacked the normal quality of the plantar skin, which has fibrous septa with reduced flexibility. In view of the quality of the skin and subcutaneous tissue and the quality of the nerve supply, the technique of neurovascular island flaps for the plantaris medialis was used over the last 4 years in 14 patients, to conceal small to medium-sized heel defects. In this report, we examine anatomy, indication, technique, and results with regard to plantaris medialis island flaps. Their use is discussed in comparison with other types of flaps already used in this region.- - - - - - - - - - ranking = 1keywords = island (Clic here for more details about this article) |
2/2. The dorsalis pedis island pedicle flap for small defects of the foot and ankle.The dorsalis pedis island pedicle flap is used frequently for coverage of small soft tissue defects (3 cm to 5 cm) of the foot and ankle. Defects overlying the malleoli, heel, and distal tibia can be covered by mobilization of the anterior tibial pedicle. For these small flaps the venous comitantes provide adequate outflow. These flaps should be considered in preference to cross leg and free flaps when feasible due to their relative efficacy and reliability.- - - - - - - - - - ranking = 0.83333333333333keywords = island (Clic here for more details about this article) |