Skin grafting techniques for soft-tissue coverage of diabetic foot and ankle wounds

2005 ◽  
Vol 14 (4) ◽  
pp. 173-176 ◽  
Author(s):  
T.S. Roukis ◽  
T. Zgonis
2014 ◽  
Vol 31 (1) ◽  
pp. 127-150 ◽  
Author(s):  
Peter A. Blume ◽  
Ryan Donegan ◽  
Brian M. Schmidt

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.


2007 ◽  
Vol 24 (3) ◽  
pp. 547-568 ◽  
Author(s):  
Thomas Zgonis ◽  
John J. Stapleton ◽  
Thomas S. Roukis

2015 ◽  
Vol 28 (4) ◽  
pp. 157-162 ◽  
Author(s):  
Sohaib Akhtar ◽  
Imran Ahmad ◽  
A.H. Khan ◽  
M. Fahud Khurram

2018 ◽  
Author(s):  
Jonathan S. Friedstat ◽  
Michelle R Coriddi ◽  
Eric G Halvorson ◽  
Joseph J Disa

Principles of initial wound management include adequate debridement, bacterial contamination assessment, nutritional optimization, and moist wound healing versus the use of negative-pressure wound therapy. The main goals of coverage procedures are to achieve a healed wound and avoid infection. Aside from allowing to heal by secondary intention, options for wound closure include primary closure, skin grafting, local flaps, and free flaps. Each wound should be evaluated on an individual basis to determine which method of coverage is most appropriate. This review contains 13 figures, 2 tables, and 22 references. Key Words: free tissue transfer, pedicle flaps, soft-tissue coverage, wound closure, wound healing, wound management, wound reconstruction, tissue flaps


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