The abductor hallucis muscle flap - a viable surgical solution for treating first ray soft tissue defects

Sitong Chen , Timothy P. Cheung , Edgardo R. Rodriguez-Collazo

Plastic and Aesthetic Research ›› 2023, Vol. 10 ›› Issue (1) : 49

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Plastic and Aesthetic Research ›› 2023, Vol. 10 ›› Issue (1) :49 DOI: 10.20517/2347-9264.2023.23
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The abductor hallucis muscle flap - a viable surgical solution for treating first ray soft tissue defects

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Abstract

Long-standing wounds are at high risk for infection. Therefore, it is critical to achieve wound healing in a timely manner; however, some complex wounds remain recalcitrant and difficult to treat. Local muscle flaps are an underutilized technique with great utility in the reconstruction of complex foot wounds. Providing a healthy bleeding base that promotes wound healing, these muscle flaps can greatly benefit the patient and prevent amputation. In this present report, we demonstrate the use of the abductor hallucis muscle flap in the reconstruction of a complex wound following bunion surgery.

Keywords

Muscle flap / abductor hallucis / forefoot wound / limb salvage / flap reconstruction / soft tissue coverage

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Sitong Chen, Timothy P. Cheung, Edgardo R. Rodriguez-Collazo. The abductor hallucis muscle flap - a viable surgical solution for treating first ray soft tissue defects. Plastic and Aesthetic Research, 2023, 10(1): 49 DOI:10.20517/2347-9264.2023.23

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References

[1]

Nix S,Vicenzino B.Prevalence of hallux valgus in the general population: a systematic review and meta-analysis.J Foot Ankle Res2010;3:21 PMCID:PMC2955707

[2]

Menz HB.Gait instability in older people with hallux valgus.Foot Ankle Int2005;26:483-9

[3]

Benvenuti F,Guralnik JM,Baroni A.Foot pain and disability in older persons: an epidemiologic survey.J Am Geriatr Soc1995;43:479-84

[4]

Menz HB.The contribution of foot problems to mobility impairment and falls in community-dwelling older people.J Am Geriatr Soc2001;49:1651-6

[5]

Koski K,Laippala P.Physiological factors and medications as predictors of injurious falls by elderly people: a prospective population-based study.Age Ageing1996;25:29-38

[6]

Tinetti ME,Ginter SF.Risk factors for falls among elderly persons living in the community.N Engl J Med1988;319:1701-7

[7]

Albright R,Baker J,Weil L Jr.Are radiographs associated with patient satisfaction after scarf bunionectomy?.J Foot Ankle Surg2023;62:2-6

[8]

Barg A,Presson AP,Lackey M.Unfavorable outcomes following surgical treatment of hallux valgus deformity: a systematic literature review.J Bone Joint Surg Am2018;100:1563-73 PMCID:PMC6636801

[9]

Kromuszczyńska J,Jurewicz A.Wound healing complications in patients with and without systemic diseases following hallux valgus surgery.PLoS One2018;13:e0197981 PMCID:PMC5983514

[10]

Lehman DE.Salvage of complications of hallux valgus surgery.Foot Ankle Clin2003;8:15-35

[11]

Helal B.Telescoping osteotomy for pressure metatarsalgia.J Bone Joint Surg Br1984;66:213-7

[12]

Kilmartin TE.Revision of failed foot surgery: a critical analysis.J Foot Ankle Surg2002;41:309-15

[13]

Lagaay PM,Ford LA,Rush SM.Rates of revision surgery using chevron-austin osteotomy, lapidus arthrodesis, and closing base wedge osteotomy for correction of hallux valgus deformity.J Foot Ankle Surg2008;47:267-72

[14]

Rougereau G,Rougereau G,Langlais T.Litigation after hallux valgus surgery in France between 2000 and 2020: a review of the two national legal research databases.J Foot Ankle Surg2022;28:497-502

[15]

Roukis TS.Bacterial skin contamination before and after surgical preparation of the foot, ankle, and lower leg in patients with diabetes and intact skin versus patients with diabetes and ulceration: a prospective controlled therapeutic study.J Foot Ankle Surg2010;49:348-56

[16]

AlMugaren FM,Suh HP.Best local flaps for lower extremity reconstruction.Plast Reconstr Surg Glob Open2020;8:e2774 PMCID:PMC7209892

[17]

Kozusko SD,Riccio CA.Selecting a free flap for soft tissue coverage in lower extremity reconstruction.Injury2019;50 Suppl 5:S32-9

[18]

Bajantri B,Sabapathy SR.Wound coverage considerations for defects of the lower third of the leg.Indian J Plast Surg2012;45:283-90 PMCID:PMC3495379

[19]

Grotting JC.Regional blood supply and the selection of flaps for reconstruction.Clin Plast Surg1986;13:581-593.

[20]

Burusapat C.Perforator flap reconstruction for the distal third of lower extremity defects: clinical application and guideline recommendation.Int J Low Extrem Wounds2019;18:376-88.

[21]

Mendieta M,Siu A,Gutierrez S.Perforator propeller flaps for the coverage of middle and distal leg soft-tissue defects.Plast Reconstr Surg Glob Open2018;6:e1759 PMCID:PMC5999436

[22]

Parrett BM,Pribaz JJ.Lower extremity trauma: trends in the management of soft-tissue reconstruction of open tibia-fibula fractures.Plast Reconstr Surg2006;117:1315-22; discussion 1323-4

[23]

Ger R.Operative treatment of the advanced stasis ulcer using muscle transposition. a follow-up study.Am J Surg1970;120:376-80.

[24]

Mathes SJ.Classification of the vascular anatomy of muscles: experimental and clinical correlation.Plast Reconstr Surg1981;67:177-87.

[25]

Craig GC.Intrinsic muscle flaps for coverage of small defects in the foot.Clin Podiatr Med Surg2020;37:789-802

[26]

Attinger CE,Cooper P.The role of intrinsic muscle flaps of the foot for bone coverage in foot and ankle defects in diabetic and nondiabetic patients.Plast Reconstr Surg2002;110:1047-54

[27]

Rodriguez-Collazo ER,Craig GC.Reverse distally based abductor hallucis muscle flap for soft tissue coverage of the first metatarsophalangeal joint wounds.Int J Low Extrem Wounds2017;16:208-11

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