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Cutaneous foot malignancies: outcome and options for reconstruction
1Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA.
Annals of Plastic Surgery
|April 1, 1995
Summary
Surgical removal of foot skin cancers and reconstruction allows patients to walk normally and maintain function. This study shows reconstructive surgery for cutaneous foot malignancies does not impede normal patient ambulation.
Area of Science:
- Oncology
- Plastic Surgery
- Dermatology
Background:
- Cutaneous foot malignancies are rare but can significantly impact patient mobility.
- Surgical extirpation is the primary treatment, often requiring complex reconstruction.
Purpose of the Study:
- To evaluate the functional outcomes of reconstructive surgery for foot malignancies.
- To assess complication rates and patient ambulation post-surgery.
Main Methods:
- Retrospective review of 26 patients with primary or recurrent foot malignancies treated between 1990-1994.
- Analysis of surgical techniques including free tissue transfer, flaps, and skin grafts.
- Assessment of postoperative ambulation, sensation, and complications.
Main Results:
- Malignant melanoma was the most common diagnosis (24 cases), primarily on the heel and midplantar areas.
- 25 out of 26 patients were ambulatory postoperatively without assistive devices.
- Sensation was preserved in 20 patients; complications included flap and graft loss in a few cases.
Conclusions:
- Surgical extirpation and reconstructive surgery for cutaneous foot malignancies effectively restore function.
- Patients can achieve normal ambulation and return to pre-treatment activities, including running.
- Reconstructive techniques, such as free tissue transfer and flaps, are viable options for foot cancer surgery.