Use of a combined pedicled toe fillet flap

Scand J Plast Reconstr Surg Hand Surg. 2004;38(5):301-5. doi: 10.1080/02844310410027211.

Abstract

We report the use of a double toe fillet flap combined with reconstruction of the joint capsule of the metatarsal proximal phalanx (MP) in a diabetic patient with a chronic persistent deep plantar ulcer and an avulsed third MP joint. Not only was the soft tissue defect dealt with, but also the stability of the MP joint was increased by the vascularised extensor tendon provided by the pedicled toe fillet flap.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chronic Disease
  • Combined Modality Therapy
  • Debridement / methods
  • Diabetic Foot / diagnosis*
  • Diabetic Foot / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Joint Instability / prevention & control
  • Metatarsophalangeal Joint / physiopathology
  • Metatarsophalangeal Joint / surgery*
  • Osteotomy / methods
  • Plastic Surgery Procedures / methods*
  • Risk Assessment
  • Severity of Illness Index
  • Surgical Flaps / blood supply*
  • Treatment Outcome
  • Wound Healing / physiology