Medial Plantar Artery Flap for Wound Coverage of the Weight-Bearing Surface of the Heel

2020 ◽  
Vol 37 (4) ◽  
pp. 751-764
Author(s):  
Michael D. Liette ◽  
Mohamed A. Ellabban ◽  
Pedro Rodriguez ◽  
Christopher Bibbo ◽  
Suhail Masadeh
Keyword(s):  
Weight Bearing ◽  
Bearing Surface ◽  
Wound Coverage ◽  
Plantar Artery ◽  
Medial Plantar Artery

scholarly journals “Like For Like” Reconstruction of Heel Pad with Medial Plantar Artery Flap—Functional and Aesthetic Outcomes in A Series of 19 Cases

2021 ◽  
Vol 54 (03) ◽  
pp. 358-361
Author(s):  
Narayanamurthy Sundaramurthy ◽  
Surya Rao Venkata Mahipathi ◽  
Alagar Raja Durairaj ◽  
Anand Prasath Jayachandiran ◽  
Shalini Ranipet Selvaa
Keyword(s):  
Weight Bearing ◽  
Abductor Hallucis ◽  
Fasciocutaneous Flaps ◽  
Diabetic Ulcer ◽  
Patients Satisfaction ◽  
Heel Pad ◽  
Plantar Artery ◽  
Functional Scores ◽  
Abductor Hallucis Muscle ◽  
Medial Plantar Artery

AbstractHeel pad loss can cause serious problems in weight-bearing and locomotion. The medial plantar artery (MPA) flap is a suitable “like for like” replacement. Nineteen patients whose heels were reconstructed with MPA flap between July 2015 and February 2020 were studied. All patients were assessed based on flap survival, functionality, and patient satisfaction. Loss of heel pad was due to diabetic ulcer (11), trauma (6), tumor (1), and unstable scar (1). The largest flap measured 9 × 7 cm. Sixteen flaps were done as fasciocutaneous flaps and three in combination with abductor hallucis muscle (AbdH). All the flaps survived. The average functional scores at 6, 12, 18, and 24 months were 86.86, 89.62, 89.38 and 97.33 based on AOSAS-AH score. Average patients' satisfaction was 8.7/10. To conclude, the MPA system is a versatile vascular axis providing “like for like” tissue for heel pad reconstruction which is reliable and durable.

Medial Plantar Artery Island Flap for Heel Reconstruction

2006 ◽  
Vol 57 (6) ◽  
pp. 658-661 ◽  
Author(s):  
Richard J. Schwarz ◽  
Jean-Francois Negrini
Keyword(s):  
Island Flap ◽  
Plantar Artery ◽  
Heel Reconstruction ◽  
Medial Plantar Artery

Department of Clarification

1986 ◽  
Vol 7 (10) ◽  
pp. 318-318
Keyword(s):  
Weight Bearing ◽  
Rapid Diagnosis ◽  
Bearing Surface ◽  
Simple Manner ◽  
Plantar Surface ◽  
Separate Category

Dr Allen L. Hoekman of Harrison, SD, has written as follows: I would appreciate clarification on an inconsistency I've noticed in William Weston's article, "Dermatoses of the Foot" (PIR 1985;7:45). On page 45 and in Table 2, it says that scabies does not involve the plantar surface of the foot. On page 49, it says that scabies can involve the plantar surface (weight-bearing surface). Please clarify. William L. Weston has replied: I agree with Dr Hoekman that it is confusing in the article as to whether or not the weight-bearing surface of the foot is involved in scabies. Clearly, involvement of the weight-bearing surface of the foot in scabies may occur, although the lesions occur predominantly over the dorsum of the foot and extend onto the ankle. For the purposes of making the algorithm in the article work in a simple manner, scabies was placed in this category to help with rapid diagnosis. However, it is clear that scabies can involve the weight-bearing surface of the foot; involvement of this area does not exclude the diagnosis. The algorithm would have perhaps been better if I had included a separate category for involvement of both the sole and the dorsum of the foot, but I believed this would have made the algorithm too complex.

The popliteal to medial plantar artery bypass with an in-situ vein graft

1995 ◽  
Vol 3 ◽  
pp. 141-141
Author(s):  
Y KUBO ◽  
T SASAJIMA ◽  
M INABA ◽  
K GOH ◽  
N OTANI ◽  
...  
Keyword(s):  
Vein Graft ◽  
Artery Bypass ◽  
Plantar Artery ◽  
Medial Plantar Artery

Free medial plantar artery flap for the reconstruction of great toe pulp

2014 ◽  
Vol 67 (6) ◽  
pp. 863-865 ◽  
Author(s):  
R.B. Jyoshid ◽  
Harsha Vardhan ◽  
Francis Anto
Keyword(s):  
Great Toe ◽  
Plantar Artery ◽  
Medial Plantar Artery

scholarly journals Inadequate thickness of the weight-bearing surface of claws in ruminants : clinical review

2009 ◽  
Vol 80 (4) ◽  
Author(s):  
A.S. Shakespeare
Keyword(s):  
Fresh Concrete ◽  
Weight Bearing ◽  
Frictional Coefficient ◽  
Alkaline Ph ◽  
Bearing Surface ◽  
Dry Period ◽  
White Line ◽  
Protective Function ◽  
Wear Rates ◽  
Lactation Cycle

The term 'thin soles' refers to the suboptimal thickness of the weight-bearing surface of claws in ruminants. These palmar / plantar surfaces of the claws support the weight of the animal and consist of the distal wall horn, the sole proper, the heel and the minute white line area. The sole should normally only bear weight on uneven or undulating surfaces. A decrease in the thickness of the weight-bearing claw surface will decrease the protective function of this structure and may alter the proportion of weight-bearing by each section with possible detrimental effects on hoof function. Horn tissue readily absorbs water and becomes softer which can lead to increased wear rates. Growth rates normally match wear rates but, unlike the latter, time is needed for the growth rate response to adapt to changes in wear rate. Concrete surfaces can be abrasive and dairy cows that spend their lactation cycle on these floors should be let out to pasture in the dry period so that their claws can recoup lost horn. Frictional coefficient is a measure of the 'slipperiness' of hooves on various surfaces. Newly laid or fresh concrete is not only abrasive but the thin surface suspension of calcium hydroxide that forms has a very alkaline pH which causes keratin degradation and is mostly responsible for the excessive claw wear that occurs. Four case studies are used to illustrate the importance of the distal wall horn, the dangers of over-trimming and the effects of disease and concrete on horn growth and wear rates.

scholarly journals Mosaic arthroplasty of the medial femoral condyle in horses — An experimental study

2014 ◽  
Vol 62 (2) ◽  
pp. 155-168 ◽  
Author(s):  
Gábor Bodó ◽  
Gábor Vásárhelyi ◽  
László Hangody ◽  
László Módis
Keyword(s):  
Hyaline Cartilage ◽  
Femoral Condyle ◽  
Weight Bearing ◽  
Medial Femoral Condyle ◽  
The Other ◽  
Bearing Surface ◽  
Femoral Trochlea ◽  
Osteochondral Grafts ◽  
Mosaic Arthroplasty

One Arabian and 5 Hungarian half-bred horses were used to study the macroscopic and microscopic survival of autologous osteochondral grafts in the weight-bearing surface of the medial femoral condyle (MFC). Grafts were harvested from the cranial surface of the medial femoral trochlea (MFT) under arthroscopic control. Three of them were transplanted into the weight-bearing surface of the contralateral MFC using an arthrotomy approach. Three months later this transplantation procedure was repeated on the opposite stifle joints in the same animals, but at that time transplantation was performed arthroscopically. Follow-up arthroscopy was carried out 12 months after the first operations, and biopsies were taken from both the recipient and the donor sites for histological examination. During follow-up arthroscopy, the transplanted areas looked congruent and smooth. Microscopically, the characteristics of hyaline cartilage were present in 5 out of the 10 biopsies examined; however, in the other half of biopsies glycosaminoglycan (GAG) loss and change in the architecture of the transplanted cartilage was observed. In a 16-year-old horse, all grafts broke during harvesting, and thus transplantation was not performed. No radiological signs of osteoarthritic changes were detected 9 to 12 months after the operations in the donor and recipient joints. Clinically, no lameness or effusion was present three months after the transplantations.

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