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Tissue Characterization after a New Disaggregation Method for Skin Micro-Grafts Generation
Published on: March 4, 2016
Free tissue transfer for trophic ulcer complicating leprosy
Yogesh C Bhatt1, Nikhil S Panse, Kinnari A Vyas
1Department of Plastic Surgery, SSG Hospital and Medical College, Baroda, India.
Summary
Reconstructing large plantar ulcers in leprosy patients can be achieved with radial artery forearm free flaps. This surgical approach offers a viable solution for complex foot defects, promoting healing and function.
Area of Science:
- Plastic Surgery
- Microsurgery
- Leprosy Management
Background:
- Plantar ulceration is a common complication in leprosy patients, affecting 10-20%.
- Large foot defects often exceed the capabilities of local reconstructive flaps.
Observation:
- A case of a large trophic ulcer on the forefoot of a leprosy patient was treated.
- The defect involved osteomyelitis and bony prominences.
Findings:
- A radial artery forearm free flap was successfully used for reconstruction.
- Surgical steps included debridement, bony reshaping, flap coverage, and arterial anastomosis to the anterior tibial vessel.
Implications:
- Free flap surgery is a crucial option for extensive plantar ulcer defects in leprosy.
- Successful outcomes depend on meticulous surgical technique and patient adherence to foot care.
