Virtual planning of the anterolateral thigh free flap for heel reconstruction.
Journal
Microsurgery
ISSN: 1098-2752
Titre abrégé: Microsurgery
Pays: United States
ID NLM: 8309230
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
revised:
24
01
2022
received:
30
07
2021
accepted:
24
03
2022
pubmed:
2
4
2022
medline:
7
7
2022
entrez:
1
4
2022
Statut:
ppublish
Résumé
three dimensional (3-D) virtual planning is an example of computer assisted surgery that improved management of composite tissue defects. However, converting the 3-D construct into two dimensional format is challenging. The purpose of this study was to assess 3-D virtual planning of complex heel defects for better optimized reconstruction. a prospective analysis of 10 patients [9 male and 1 female; mean age = 27.9 years] with post-traumatic heel defects was performed. Heel defects comprised types II (three patients) or III (seven patients) according to Hidalgo and Shaw and were managed using anterolateral thigh (ALT) free flap adopting 3-D virtual planning of the actual defect which was converted into a silicone two dimensional mold. The mean definitive size of the defects was 63.4 cm Six patients received thinned ALT (mean size = 139 cm 3-D virtual planning of complex heel defects facilitates covering non-elliptical defects while harvesting a conventional elliptical flap with providing satisfactory functional outcomes and near-normal contour, volume, and sensibility.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
460-469Informations de copyright
© 2022 Wiley Periodicals LLC.
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