Distal foot reconstruction using distally based fi rst web fl ap: A case series

N Kumar, R Mohan, MK Jha, N Umesh, A Kumar
2019 Journal of Surgery and Surgical Research  
The reconstruction of distal foot for various defects or contractures mainly over or near the toes has always been a diffi cult task. A fl ap distally based on fi rst web space is dependent upon a perforator arising from the the distal communicating artery between the fi rst dorsal and plantar metatarsal arteries, can be used for the coverage of the toe or the distal foot defects. Method: An observational study was conducted with the study period from August 2016 till August 2018. 10 patients
more » ... th toe defects and contractures at the dorsum of the distal foot were operated using distally based fl ap elevated from fi rst webspace. Patient's demographic data were collected and evaluated in terms of various factors. Results: There were total 7 males (70 %) and 3 females (30 %).The average age was 34 years. The average defect size was 13.8 centimeter square. In 50% of cases main etiology was post burn contracture, in 20% crush injury and in rest 30 % road traffi c accident. Complications were noted in only two cases in the form of wound infections. Conclusion: With the study we concluded that a distally based fi rst web space fl ap can be reliably raised to cover the defects in distal foot.
doi:10.17352/2455-2968.000073 fatcat:7gvixhxze5csdkzgpxnqt6zlpq