Clinical application of the trifoliated flap from the dorsal foot / 中华显微外科杂志

ABSTRACT

Objective To summerize clinical application of the trifoliated flap from the dorsal foot. Methods The flaps,which were made of the first dorsal metatarsal flap, medial foot flap and lateral foot flap,were designed on the basis of the anatomy of flap whose common pedicle was anterior tibial artery or dorsal foot artery and whose other branches was medial tarsal artery or medial anterior, melleolar artery and lateral tarsal artery respectively,the single flaps were harvested to repair multi-finger skin defect.The flaps from both feet were repaired digit degloving injuries. Results Thirty-one patients were treated by trifoliated flap from the dorsal foot.29 of 31 flaps survived completely.Two flaps in patient necrosised.One flap in two patients necrosised. Conclusion The trifoliated flap from the dorsal foot is a good procedure for coverage problems in multiple-finger avulsion and digit degloving in juries.