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KMID : 1143020200250020151
Archives of Hand and Microsurgery
2020 Volume.25 No. 2 p.151 ~ p.155
Reconstruction of Medial Malleolar Defect Using Posterior Tibial Artery Perforator Based Deep Fascial Flap after Malignant Melanoma Ablation
Heo Jae-Won

Kim Yong-Hun
Chung Yoon-Kyu
Abstract
The soft tissue structure near the medial malleolus is an area where the bone is covered only with thin skin and subcutaneous tissue without structures like ligaments or tendons. In addition to the above anatomical features, wearing normal footwear should be considered when reconstructing the soft tissues in these areas. Therefore, it may be desirable to restore the original thickness of the soft tissue when performing a reconstruction. The authors reconstructed defects on the medial malleolus of a 50-year-old woman, after wide excision of a malignant melanoma, using only a deep fascial flap based on the posterior tibial artery-based perforator. This technique is thought to be a good option for reconstructing soft tissue defects in this area.
KEYWORD
Melanoma, Reconstructive surgery, Pedicled flap, Ankle
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