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Date Published: 31/10/2023
Online Published: 31/10/2023
Abstract Views: 119
Views article details: 112
DOI: https://doi.org/10.54804/yhthvb.5.2023.268
Issue
No. 5 (2023)
Section
Articles
How to Cite
Tran, D. T. D., Nguyen, T. X., Nguyen, D. H., Nguyen, P. D. P., & Hoang, T. H. (2023). Application of reverse first dorsal metatarsal artery to treat soft tissue defect of great toe. Journal of Disaster Medicine and Burn Injuries, 5, 98-106. https://doi.org/10.54804/yhthvb.5.2023.268

Application of reverse first dorsal metatarsal artery to treat soft tissue defect of great toe

Tran Dinh Truong Dat1, Nguyen Thanh Xuan1, Nguyen Duc Hanh1,, Nguyen Phu Dong Phuong1, Hoang Thanh Hiep1
1 Hue Central Hospital - Base 2

Main Article Content

Abstract

Background: Distal foot and toe defects required a vascularized flap for coverage. A free flap was one of the appropriate treatment choices for this region but the use of perforator flaps helps surgeons avoid difficulties associated with microvascular tissue transfer. This report aimed to describe our experience using reverse FDMA perforator flap to cover great toe defects at Hue Central Hospital Base 2.
Methods: A standard FDMA flap from the dorsum of the foot was raised in a reversed fashion based on the distal communicating brand or perforator from the plantar foot arch in six patients with great toe defects.
Results: Great first-toe defects of all patients were salvaged. Reverse FDMA perforator flap achieved reconstructive goals and the donor site healing was achieved without tension. Only 1 case had an infection with multidrug-resistant bacteria.
Conclusions: A reverse FDMA flap can be used as a local flap to cover distal foot and toe wounds (for both elective and urgent surgeries). The donor site can be directly closed or maybe a skin graft.

Article Details

Keywords

First dorsal metatarsal artery, great toe, perforator flap

References

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