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KMID : 0603120100190020088
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Journal of the Korean Microsurgical Society
2010 Volume.19 No. 2 p.88 ~ p.92
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Reconstruction of Forefoot Degloving Injury with Innervated Anterolateral Thigh Free Flap
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Cho Hye-In
Eun Seok-Chan
Baek Rong-Min
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Abstract
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The forefoot reconstruction is a challenging field for plastic surgeons. Weight bearing tolerability and stability are important factor of choosing reconstruction methods, but cosmetic aspect has to be considered. 51 year old man visited our clinic with extensive degloving injury on right forefoot by roller. The soft tissue defect started from metatarsal area to the toe tip including nails. We harvested the anterolateral thigh flap and transferred it to the forefoot defect area with nerve coaptation. The flap was successful without skin necrosis or other complications. Secondary flap debulking surgery was performed after ten months from initial operation. Patient was satisfied with functional and cosmetic outcomes. The patient was able to wear shoes and walk with adequate sensory recovery. As there is few report about reconstruction of forefoot soft tissue defects, we report a unique case of the anterolateral thigh innervated free flap reconstruction in degloving injury.
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KEYWORD
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Degloving injury, Forefoot, Free flap, Anterolateral thigh
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