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Ahmed Ashraf Fisal ; Mohamed Abdel-Hamid Romeih ; Lotfy Mohamed Younes ; Mahmoud El-Rosasy ; Pedro Rodriguez ; Michael D. Liette ; Suhail Masadeh |The distal third of the leg is susceptible to various pathologies that require advanced soft tissue reconstruction. Open fractures, soft tissue injuries, ulcers related to diabetes, tumors, and ischemic wounds may be causative of soft tissue def[...]Article
• Coverage options for distal soft tissue defects in the foot remain challenging. • The first dorsal metatarsal artery flap has several variants, making it a versatile option for challenging distal and proximal foot pathology. • Delaying the f[...]Article
Open wounds of the tibia may be caused by trauma, surgery, or chronic ulceration. These wounds often lead to significant morbidity and have the potential for limb loss. The anteromedial portion of the tibia lacks significant soft tissue coverage[...]Article
• The weight-bearing surface of the foot has a unique anatomy with highly specialized functional units capable of withstanding elevated pressures and unique forces. • Loss of the specialized anatomy owing to ulceration leads to an increased lik[...]Article
Ryan Pereira ; William C. Perry ; Peter A. Crisologo ; Michael D. Liette ; Bryan Hall ; Shawkat Ghazal Hafez Hassn ; Suhail Masadeh |-The induced membrane technique is a simple, effective, and reproducible 2-staged procedure for the management of segmental bone defects. -The first stage consists of aggressive debridement to remove all nonviable tissue and placement of a po[...]Article
Wounds of the lower extremity, especially those of the distal third of the leg, pose significant challenges due to the unique anatomy and physiology of this region. The thin subcutaneous layer, multitude of superficial tendons, and lack of muscl[...]Article
Advanced reconstructive techniques are available to the interested foot and ankle surgeon to provide a reduction in re-amputation rates for their patients. Tendon balancing is an accessible strategy both for those hesitant to perform certain lev[...]Article
Michael D. Liette ; Peter A. Crisologo ; Lance Johnson ; Jordan A. Henning ; Edgardo Rodriguez-Collazo ; Suhail Masadeh |-Persistent hyperglycemia leads to muscle imbalance, increased tendon stiffness, and the creation of biomechanical deformity. -Biomechanical deformity in neuropathic patients leads to localized increased plantar pressures and eventual ulcerat[...]Article
Soft tissue defects of the lower leg and hindfoot are challenging due to superficial tendon, bone, and neurovascular structures. The use of fasciocutaneous flaps for coverage of distal leg/hindfoot tissue defects has numerous advantages over alt[...]Article
Acute and chronic soft tissue defects of the distal lower extremity pose a significant challenge to the reconstructive surgeon. The paucity of vascularized tissue coupled with the mechanical demands of the region creates unique barriers in wound[...]Article
•Dermal regenerative templates (DRTs) are composed of a bilayer that minimizes fluid loss and bacterial invasion while recreating a dermal layer. •DRTs serve as a scaffold that promotes host cells infiltration. •DRTs create a vascularized woun[...]Article
• Coverage options should be durable and reconstruct tissues in a “like with like” fashion to accommodate the high plantar pressures and sheer forces. • The digital fillet flap provides a valuable option for forefoot soft tissue deficit coverag[...]
