A reliable method for treatment of nonhealing ulcers in the hindfoot and midfoot region in diabetic patients: Reconstruction with abductor digiti minimi muscle flap

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dc.authorscopusid12752999200
dc.authorscopusid14630077000
dc.authorscopusid35734032900
dc.authorscopusid15840828300
dc.authorscopusid43560955100
dc.authorscopusid24478487300
dc.contributor.authorAltındaş, M.
dc.contributor.authorCeber, Mehmet
dc.contributor.authorKılıç, A.
dc.contributor.authorSarac, M.
dc.contributor.authorDiyarbakirli, M.
dc.contributor.authorBaghaki, S.
dc.date.accessioned2022-05-11T14:36:18Z
dc.date.available2022-05-11T14:36:18Z
dc.date.issued2013
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Plastik, Rekonstrüktif ve Estetik Cerrahi Ana Bilim Dalı
dc.description.abstractThe foot has a unique anatomic composition and a perfect architecture, which is necessary for mobilization. However, this complex structure is also responsible for healing problems in foot reconstruction. After 25 years of experience in diabetic foot surgery practice, we observed that some hindfoot ulcers are like an iceberg in that they have much more involvement in the plantar fat pad than the skin, and the lateral midfoot region is a common site for ulcer formation. Also the fifth tarsometatarsal joint region is a prominent anatomic structure vulnerable to repetitive trauma and ulcer formation that may easily spread to other parts of the foot. These ulcers should be reconstructed with well-vascularized tissues such as muscle flaps after debridement. Between 2003 and 2010, 17 diabetic patients with foot ulcers, involving bone and joint, were reconstructed with abductor digiti minimi muscle flap. When it is needed, the flap is covered with a small split-thickness skin graft. In all cases, complete healing was achieved. The muscle flap functioned well as a versatile and shock absorbent coverage without recurrence of the ulcer during a mean follow-up period of around 2 years. Diabetic foot ulcers should be evaluated and treated individually depending on their location and affected tissue composition. The most appropriate reconstructive option should be selected for each lesion. The abductor digiti minimi muscle flap is extremely useful for the reconstruction of small-to moderate-sized defects that have exposed bone, joint, or tendons in the hindfoot and lateral plantar midfoot. Copyright © 2012 by Lippincott Williams & Wilkins.
dc.identifier.doi10.1097/SAP.0b013e318228e3b2
dc.identifier.endpage87
dc.identifier.issn0148-7043
dc.identifier.issue1en_US
dc.identifier.pmid21785332
dc.identifier.scopus2-s2.0-84871617950
dc.identifier.scopusqualityQ2
dc.identifier.startpage82
dc.identifier.urihttps://doi.org/10.1097/SAP.0b013e318228e3b2
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8437
dc.identifier.volume70
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAltındaş, M.
dc.institutionauthorCeber, Mehmet
dc.language.isoen
dc.relation.ispartofAnnals of Plastic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectabductor digiti minim
dc.subjectdiabetic foot ulcer
dc.subjectlocal muscle flap
dc.subjectreconstruction
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectcase report
dc.subjectdiabetic foot
dc.subjectevaluation
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectmale
dc.subjectmethodology
dc.subjectmiddle aged
dc.subjectplastic surgery
dc.subjectretrospective study
dc.subjectsurgical flaps
dc.subjecttreatment outcome
dc.subjectvery elderly
dc.subjectwound healing
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectDiabetic Foot
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectReconstructive Surgical Procedures
dc.subjectRetrospective Studies
dc.subjectSurgical Flaps
dc.subjectTreatment Outcome
dc.subjectWound Healing
dc.titleA reliable method for treatment of nonhealing ulcers in the hindfoot and midfoot region in diabetic patients: Reconstruction with abductor digiti minimi muscle flap
dc.typeArticle

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