01174nas a2200181   4500000000100000008004100001260001700042100001200059700001200071700001100083700001200094245006500106856005700171300001000228490000700238520073300245022001400978       2009                            d  c2009 Jan-Jun1 aBhatt Y1 aPanse N1 aVyas K1 aPatel G00aFree tissue transfer for trophic ulcer complicating leprosy.  uhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2772285/  a115-70 v423 a<p>Plantar ulceration is the commonest disability in leprosy and occurs in about 10 to 20% of leprosy patients. Various loco-regional flaps have been described for reconstruction of trophic ulcers; however, very large defects are not amenable to local flaps and free flaps form one of the important treatment options. We present a case of a post Hansen's trophic ulcer over the forefoot managed using a radial artery forearm free flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial as the recipient vessel and good postoperative compliance in foot care on the part of the patient gave us good results.</p>  a1998-376X