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SM ISO690:2012 CEBOTARI, Dana, IORDĂCHESCU, Rodica, STOIAN, Alina, FORTUNA, Elvira, VEREGA, Grigore. The aplication of medial plantar flap. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 344. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | |||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | |||||
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Pag. 344-344 | |||||
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Rezumat | |||||
Background. Reconstructive coverage of foot defects, especially those of the calcaneus region, is a unique technical challenge for the surgeon due to the high degree of specialization of the tissues involved and the relative immobility of the proximal tissues. Objective of the study. The objective of this study is to present a series of cases involving patients with traumatic lesions of the foot, who underwent surgical reconstruction with the medial plantar flap and gone out succesfully. Material and Methods. The study was designed to mark our experience with the application of the plantar medial flap to cover tissue defects in the foot, especially in traumatic tissue loss. Our clinical cases were included 4 different indication of reconstruction, performed in the Clinic of Plastic, Aesthetic Surgery and Reconstructive Microsurgery, Chisinau, Republic of Moldova. Results. The indications were traumatic tissue loss of the plantar fat pad, in the region of the calcaneal and of the dorsum of the foot. All flaps were elevated as fasciocutaneous pedicle flaps based on the medial plantar artery. All the flaps healed without major complications, except one case that involved partial loss. The donor area was covered with a partial skin graft and there was one case of partial graft loss. The flap displayed a slightly lower protective sensitivity than the normal side. Conclusion. According to our results, the applicability of the plantar medial flap is an optimal method of reconstruction of tissue defects in the back of the foot. The integrity of the skin with similar texture and protective sensitivity gives the flap a major advantage over other flaps. |
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Cuvinte-cheie medial plantar flap, foot reconstruction, tissue defect, lambou medial plantar, reconstrucția piciorului, defecte tisulare |
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