Upside-down Adipofascial Flap for the Medial Foot Soft Tissue Defect after Trauma: Case Report

Kim,  Min Bom; Lee,  Young Ho; Seo,  Gil Joon; Baek,  Goo Hyun

doi:2015.28.1.27

J Trauma Inj > Volume 28(1); 2015 > Article

Case Report

Journal of Trauma and Injury 2015;28(1):27-30.
DOI: https://doi.org/10.20408/jti.2015.28.1.27 Published online March 30, 2015.

Upside-down Adipofascial Flap for the Medial Foot Soft Tissue Defect after Trauma: Case Report

Min Bom Kim, Young Ho Lee, Gil Joon Seo, Goo Hyun Baek

¹Department of Orthopaedic Surgery, Seoul National University Hospital, Korea. orthoyhl@snu.ac.kr
²Department of Emergency Medicine, Seoul National University Hospital, Korea.

지방 근막 피판을 이용한 외상성 족부 내측면의 연부 조직 결손의 치료: 증례보고

김민범, 이영호, 서길준1, 백구현

서울대학교병원 정형외과, 1서울대학교병원 응급의학과

Received: 20 October 2014 • Revised: 28 November 2014 • Accepted: 18 March 2015

Abstract

A child sustained a car tire friction injury and had multiple soft tissue wounds. She had a severe soft tissue defect in the medial foot and ankle aspect which requiring flap coverage. We performed an adipoafscial flap with upside-down pattern for the treatment of the medial foot and ankle soft tissue posttraumatic defect. The flap is based on the perforator artery from the posterior tibial artery. Because it gave a thin coverage for the foot, the patient could walk with normal foot wear.

Key Words: Soft tissue injury; Trauma; Foot and ankle; Flap; Perforator flap