The free vastus lateralis muscle flap. A smart less used flap for soft tissue reconstruction of the weight-bearing foot

Injury ◽  
2020 ◽  
Vol 51 ◽  
pp. S34-S40
Author(s):  
Lucian P. Jiga ◽  
Zaher Jandali ◽  
Benedikt Merwart ◽  
Katarzyna Skibinska
2012 ◽  
Vol 49 (2) ◽  
pp. 245-248 ◽  
Author(s):  
Jose G. Christiano ◽  
Amir H. Dorafshar ◽  
Eduardo D. Rodriguez ◽  
Richard J. Redett

A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.


2010 ◽  
Vol 3 (5) ◽  
pp. 241-248 ◽  
Author(s):  
Claire M. Capobianco ◽  
John J. Stapleton ◽  
Thomas Zgonis

Foot complications and ulceration are well-known sequelae to uncontrolled diabetes. Patients with chronic foot ulcers or wounds resulting from surgical debridement of deep-space infections are at continued risk for development of osteomyelitis and potential amputation. Moreover, these wounds often necessitate multiple outpatient clinic visits, daily dressing care, and prolonged periods of non—weight bearing, all of which have been shown to adversely affect the patient’s quality of life. After a prudent period of wound-healing response, the authors believe that early and aggressive soft tissue reconstruction is in the patient’s best interest and is crucial for resolution of the chronic nonhealing wound. The options for soft tissue coverage and the logical progression of application of these techniques in the diabetic foot will be described.


Author(s):  
G. Rodríguez-Rosales ◽  
J.L. Cebrián-Parra ◽  
A. Francés-Borrego ◽  
F. Marco-Martínez ◽  
L. López-Durán Stern

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Bruce Lelala ◽  
Conrad Pienaar ◽  
Donald A. Hudson

Sign in / Sign up

Export Citation Format

Share Document