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.
BT - Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India C1 - http://www.ncbi.nlm.nih.gov/pubmed/19881032?dopt=Abstract DA - 2009 Jan-Jun DO - 10.4103/0970-0358.53022 IS - 1 J2 - Indian J Plast Surg LA - eng N2 -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.
PY - 2009 SP - 115 EP - 7 T2 - Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India TI - Free tissue transfer for trophic ulcer complicating leprosy. UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2772285/ VL - 42 SN - 1998-376X ER -