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Extremity reconstruction using the "fillet of sole" flap
R C Russell1, V Vitale, E C Zook
1Division of Plastic and Reconstructive Surgery, Southern Illinois University School of Medicine, Springfield 62702.
Annals of Plastic Surgery
|July 1, 1986
Summary
Foot sole skin offers a durable, sensate flap for leg amputation stump reconstruction. This "fillet of sole" flap provides immediate coverage without a secondary donor site.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Traumatic leg amputations often require complex stump reconstruction.
- Proximal stump coverage can be challenging, necessitating innovative reconstructive techniques.
Observation:
- The thick, glabrous skin from the foot sole is suitable for immediate neurovascular free flap transfer.
- This flap, termed the "fillet of sole" flap, utilizes the foot's inherent vascularity (dorsalis pedis or posterior tibial artery).
Findings:
- The "fillet of sole" flap provides large, durable, and sensate coverage for proximal stump reconstruction.
- Preservation of the deep plantar branch ensures flap survival, negating the need for a secondary donor site.
Implications:
- This technique offers a valuable option for immediate reconstruction in nonreplantable leg amputations.
- The "fillet of sole" flap enhances functional and aesthetic outcomes in amputees.
- Further research can explore expanded applications of this reconstructive method.