Closure of an extensive defect of soft tissues of the footplate by vascularized autoplastic graft from abdominal rectus muscle
https://doi.org/10.17650/2408-9613-2016-3-3-52-59
Abstract
In the given clinical example, where the patient is a child with an extensive degloving wound of the footplate of the right (not the left) foot, it is demonstrated the possibility of the rehab of the foot's support ability by the method of microsurgical muscle grafting combining with full-thickness skin autodermoplasty. The recovery of support ability of extremity with defects in the tissues of the plantar surface is an actual problem of modern surgery. When there are small and medium-sized defects, it can be used local and regional flaps, but when the defects are extensive, it is needed to create soft tissues anew, and they must be able to withstand multiple physical stresses. In the given clinical example, where the patient is a child with an extensive degloving wound of the footplate of the left foot, it is demonstrated the possibility of the rehab of the foot's support ability by the method of microsurgical muscle grafting combining with full-thickness skin autodermoplasty.
About the Authors
V. V. Rybchenok
Surgery in children, Pirogov Russian NationalResearch Medical University (RNRMU)
Russian Federation
Russian Federation
A. V. Aleksandrov
Children's city clinical hospital № 13 of them. N. F. Filatov
Russian Federation
Russian Federation
A. A. Lagutina
Surgery in children, Pirogov Russian NationalResearch Medical University (RNRMU)
Russian Federation
Russian Federation
P. V. Goncharuk
Department of pediatric surgery, Pirogov Russian NationalResearch Medical University (RNRMU)
Russian Federation
Russian Federation
N. E. Aleksandrova
Children's city clinical hospital № 13 of them. N. F. Filatov
Russian Federation
Russian Federation
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Review
For citations:
Rybchenok V.V., Aleksandrov A.V., Lagutina A.A., Goncharuk P.V., Aleksandrova N.E. Closure of an extensive defect of soft tissues of the footplate by vascularized autoplastic graft from abdominal rectus muscle. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2016;3(3):52-59. (In Russ.) https://doi.org/10.17650/2408-9613-2016-3-3-52-59
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