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Related Experiment Video

Updated: Jan 25, 2026

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Published on: January 15, 2017

Pedicled and Free Tissue Transfers.

Cara K Black¹, Vikas S Kotha¹, Kenneth L Fan¹

¹Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007, USA.

Clinics in Podiatric Medicine and Surgery

|May 14, 2019

Summary

Diabetic foot infections often cause complex tissue defects requiring reconstructive surgery. Various flap techniques, from intrinsic foot muscles to microvascular free flaps, aid in limb preservation for diabetic patients.

Keywords:

Abductor digiti minimi flap Abductor hallucis flap Complex foot wound Flap Flexor digitorum brevis flap Free flap Local muscle flap Tissue defect

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Area of Science:

Surgical reconstruction
Diabetic foot complications
Soft-tissue repair

Background:

Diabetic foot infections frequently lead to complex tissue defects.
Closure of these defects often requires specialized reconstructive soft-tissue surgery.
Limb preservation is a critical goal in managing diabetic foot complications.

Purpose of the Study:

To review reconstructive soft-tissue surgical techniques for diabetic foot defects.
To highlight the utility of intrinsic muscle flaps and microvascular free flaps.
To emphasize the importance of perioperative planning in diabetic reconstructive surgery.

Main Methods:

Review of intrinsic muscle flaps for smaller defects, considering vascular pedicles.
Discussion of microvascular free flaps for larger defects, focusing on survivability.
Emphasis on perioperative planning strategies for diabetic patients.

Main Results:

Intrinsic muscle flaps are suitable for smaller diabetic foot ulcerations.
Microvascular free flaps offer solutions for extensive tissue defects.
Effective surgical planning enhances outcomes in diabetic reconstructive surgery.

Conclusions:

Reconstructive soft-tissue surgery is essential for closing diabetic foot defects.
Both intrinsic muscle and microvascular free flaps are valuable reconstructive tools.
Perioperative planning is crucial for successful limb preservation in diabetic patients.