Sensate free radial forearm flap reconstruction to the instep following recurrent plantar fibromatosis: a case report

Orthopaedics; Plastic Surgery
Case Report
10.1102/1470-5206.2011.0007
11
28-33
Sensate free radial forearm flap reconstruction to the instep following recurrent plantar fibromatosis: a case report

Plantar fibromatosis is a complex problem encountered by many surgeons in different specialties. Understanding the complexity of this debilitating disease and awareness of the concept of the reconstructive toolbox is crucial in achieving best surgical outcome. We present a case where an instep defect following an excision of recurrent plantar fibromatosis was reconstructed with a sensate free radial forearm flap. We selected this flap as it is thin and pliable therefore allowing restoration of the anatomic contour of the foot. It is relatively quick and easy to raise with a two team approach and can cover a large defect. It is also sensate hence providing protection to the foot. The use of a free radial forearm flap for instep defect has provided a good cosmetic and functional outcome in this case.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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