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Indian Journal of Plastic Surgery
Medknow Publications on behalf of Indian Journal of Plastic Surgery
ISSN: 0970-0358 EISSN: 0970-0358
Vol. 42, No. 1, 2009, pp. 115-117
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Bioline Code: pl09024
Full paper language: English
Document type: Case Report
Document available free of charge
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Indian Journal of Plastic Surgery, Vol. 42, No. 1, 2009, pp. 115-117
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Free tissue transfer for trophic ulcer complicating leprosy
Bhatt, Yogesh C.; Panse, Nikhil S.; Vyas, Kinnari A. & Patel, Gunjan A.
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.
Keywords
Free flap; Post Hansen′s trophic ulcer; Nonsensate foot
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© Copyright 2009 Indian Journal of Plastic Surgery. Alternative site location: http://www.ijps.org/
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