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[A systematic approach to plastic surgical foot reconstruction]
Susanne Rein1,2, Thomas Kremer3
1Klinik für Plastische und Handchirurgie mit Schwerbrandverletztenzentrum, Klinikum St. Georg gGmbH, Delitzscher Str. 141, 04129, Leipzig, Deutschland. susanne.rein@web.de.
Der Unfallchirurg
|September 9, 2021
Summary
Individualized reconstruction is key for foot soft tissue defects after trauma. Precise planning and free flaps ensure stable coverage, weight-bearing ability, and shoe wear for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Soft tissue defects of the foot are common after trauma.
- These injuries necessitate individualized reconstructive strategies.
Purpose of the Study:
- To provide recommendations for treating soft tissue injuries to the foot.
- To outline an individualized reconstructive approach based on defect characteristics and patient factors.
Main Methods:
- Discussion of reconstruction criteria, postoperative follow-up, and complication management.
- Therapeutic approach tailored to the reconstruction site, including case examples.
- Preoperative diagnostics of foot vascularization are crucial.
Main Results:
- Decision-making for reconstruction depends on defect location, size, patient needs, and comorbidities.
- While local flaps are options, they carry significant complication risks.
- Free flaps are often indicated, offering individualized reconstruction due to diverse donor sites.
Conclusions:
- Successful foot soft tissue reconstruction relies on precise preoperative planning and vascular analysis.
- Goals include stable coverage, weight-bearing capacity, normal shoe wear, and preserved sensibility.
