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Free tissue transfer for trophic ulcer complicating leprosy.

Abstract

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.

More information

Type
Journal Article
Author
Bhatt YC
Panse NS
Vyas KA
Patel GA
Year of Publication
2009
Journal
Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India
Volume
42
Issue
1
Number of Pages
115-7
Date Published
2009 Jan-Jun
Language
eng
ISSN Number
1998-376X
DOI
10.4103/0970-0358.53022
Alternate Journal
Indian J Plast Surg
Publication Language
eng