Rotation Fasciocutaneous Flap with Z - Plasty: Clinical Applications for Reconstruction of the Lower Leg.

Baek, Sung Jong; Suh, Man Soo; Ryu, Hyung Ho; Park, Sae Jung

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2000;27(6):609-614.
Published online November 1, 2000.

Rotation Fasciocutaneous Flap with Z - Plasty: Clinical Applications for Reconstruction of the Lower Leg.

Sung Jong Baek, Man Soo Suh, Hyung Ho Ryu, Sae Jung Park

Department of Plastic and Reconstructive Surgery, Taegu Fatima Hospital. rucca@unitel.co.kr

Abstract

The reconstruction of foot remains difficult due to its unique structure, insufficient local soft tissue and poor vascularity in spite of many surgical modalities. The medial plantar island flap enables to obtain sensate and structurally similar tissue with single operative procedure. We reconstructed 5 cases of soft tissue defects on foot by using medial plantar island flap(3 cases proximally- based, 2 cases distally-based) in diabetics. Successful soft tissue coverage was achieved on medial malleolus, dorsal midfoot, tendo calcaneus, and forefoot. The size of the flap ranged from 3.5 x 3.0 cm to 6.0 x 4.0 cm. The follow-up period ranged from 8 to 26 months. All flaps survived without serious complications. All patients gained confidence in daily activities and were able to ambulate in normal footwear. This paper demonstrates that medial plantar island flap with proximally and distally-based pedicle should be considered as a useful technique for reconstruction of soft tissue defect from ankle to forefoot.

Keywords: Transposition fasciocutaneous flap; Rotation fasciocutaneous flap with Z-plasty