TY  - BOOK
AU  - Gunsch, Crystal
AU  - Nigam, Manas
AU  - Thompson, Candice
AU  - Wang-Memoli, Jessica S
TI  - Proximally Based Split Abductor Hallucis Turnover Flap for Medial Hindfoot Reconstruction: A Case Report
SN  - 1067-2516
PY  - 2019///
KW  - *Foot Ulcer/su [Surgery]
KW  - *Free Tissue Flaps
KW  - *Muscle, Skeletal/tr [Transplantation]
KW  - *Needlestick Injuries/co [Complications]
KW  - *Reconstructive Surgical Procedures/mt [Methods]
KW  - Adolescent
KW  - Female
KW  - Foot Ulcer/di [Diagnosis]
KW  - Foot Ulcer/et [Etiology]
KW  - Humans
KW  - Magnetic Resonance Imaging
KW  - Needlestick Injuries/di [Diagnosis]
KW  - Needlestick Injuries/su [Surgery]
KW  - Radiography
KW  - MedStar Washington Hospital Center
KW  - Medicine/Pulmonary-Critical Care
KW  - Surgery/General Surgery
KW  - Surgery/Plastic Surgery
KW  - Journal Article
N1  - Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
N2  - Limited reconstructive options exist for soft tissue defects of the foot and ankle because of a lack of surrounding tissue. Although microsurgical free flaps have become a popular treatment modality for this anatomic region, pedicled muscle flaps can provide robust coverage of small foot wounds with significantly less donor site comorbidity. One such muscle is the abductor hallucis, which can be used as a proximally based turnover flap to cover medial hindfoot defects. However, complete distal disinsertion of the muscle may lead to loss of support over the medial arch and first metatarsophalangeal joint, leading to pes planus and hallux valgus. In this case report, we describe a modified technique of a split abductor hallucis turnover flap for a young patient with a chronic, traumatic medial heel wound complicated by calcaneal osteomyelitis. By preserving part of the muscle's distal tendinous attachment, this technique allows for adequate soft tissue coverage while maintaining long-term biomechanical function. Copyright (c) 2019 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved
UR  - https://dx.doi.org/10.1053/j.jfas.2019.06.004
ER  -