Modifications of the great toe fibular flap for diabetic forefoot and toe reconstruction.

Thomas S. Roukis, Thomas Zgonis

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Diabetic forefoot and toe wounds are difficult to heal in a timely fashion. Despite proper continued offloading and protective shoe-gear techniques, these wounds are frequently complicated by recurrent breakdown and adjacent toe deformities. When properly performed, pedicle flaps from the fibular border of the great toe represent viable and cost-effective means of providing early and durable soft tissue coverage and osseous reconstruction of diabetic forefoot and lesser toe wounds. Two modifications of the traditional great toe fibular flap are described: the great toe fibular adipofascio-cutaneous flap and the great toe fibular osteo-cutaneous flap, useful for providing forefoot and toe reconstruction, respectively. Understanding the surgical aspects of the treatment provides insights into overall care for these challenging wounds. Long-term outcomes studies involving these toe reconstruction techniques are needed to fully evaluate their success in preventing recurrent toe deformity and forefoot ulceration.

Original languageEnglish (US)
JournalOstomy/wound management
Volume51
Issue number6
StatePublished - Jun 2005
Externally publishedYes

Fingerprint

Hallux
Toes
Wounds and Injuries
Skin
Shoes
Outcome Assessment (Health Care)
Costs and Cost Analysis

ASJC Scopus subject areas

  • Gastroenterology
  • Internal Medicine
  • Nursing(all)

Cite this

Modifications of the great toe fibular flap for diabetic forefoot and toe reconstruction. / Roukis, Thomas S.; Zgonis, Thomas.

In: Ostomy/wound management, Vol. 51, No. 6, 06.2005.

Research output: Contribution to journalArticle

@article{927b5b46d0e445c2ab5b24c5b47d76e2,
title = "Modifications of the great toe fibular flap for diabetic forefoot and toe reconstruction.",
abstract = "Diabetic forefoot and toe wounds are difficult to heal in a timely fashion. Despite proper continued offloading and protective shoe-gear techniques, these wounds are frequently complicated by recurrent breakdown and adjacent toe deformities. When properly performed, pedicle flaps from the fibular border of the great toe represent viable and cost-effective means of providing early and durable soft tissue coverage and osseous reconstruction of diabetic forefoot and lesser toe wounds. Two modifications of the traditional great toe fibular flap are described: the great toe fibular adipofascio-cutaneous flap and the great toe fibular osteo-cutaneous flap, useful for providing forefoot and toe reconstruction, respectively. Understanding the surgical aspects of the treatment provides insights into overall care for these challenging wounds. Long-term outcomes studies involving these toe reconstruction techniques are needed to fully evaluate their success in preventing recurrent toe deformity and forefoot ulceration.",
author = "Roukis, {Thomas S.} and Thomas Zgonis",
year = "2005",
month = "6",
language = "English (US)",
volume = "51",
journal = "Wound management & prevention",
issn = "2640-5237",
publisher = "HMP Communications",
number = "6",

}

TY - JOUR

T1 - Modifications of the great toe fibular flap for diabetic forefoot and toe reconstruction.

AU - Roukis, Thomas S.

AU - Zgonis, Thomas

PY - 2005/6

Y1 - 2005/6

N2 - Diabetic forefoot and toe wounds are difficult to heal in a timely fashion. Despite proper continued offloading and protective shoe-gear techniques, these wounds are frequently complicated by recurrent breakdown and adjacent toe deformities. When properly performed, pedicle flaps from the fibular border of the great toe represent viable and cost-effective means of providing early and durable soft tissue coverage and osseous reconstruction of diabetic forefoot and lesser toe wounds. Two modifications of the traditional great toe fibular flap are described: the great toe fibular adipofascio-cutaneous flap and the great toe fibular osteo-cutaneous flap, useful for providing forefoot and toe reconstruction, respectively. Understanding the surgical aspects of the treatment provides insights into overall care for these challenging wounds. Long-term outcomes studies involving these toe reconstruction techniques are needed to fully evaluate their success in preventing recurrent toe deformity and forefoot ulceration.

AB - Diabetic forefoot and toe wounds are difficult to heal in a timely fashion. Despite proper continued offloading and protective shoe-gear techniques, these wounds are frequently complicated by recurrent breakdown and adjacent toe deformities. When properly performed, pedicle flaps from the fibular border of the great toe represent viable and cost-effective means of providing early and durable soft tissue coverage and osseous reconstruction of diabetic forefoot and lesser toe wounds. Two modifications of the traditional great toe fibular flap are described: the great toe fibular adipofascio-cutaneous flap and the great toe fibular osteo-cutaneous flap, useful for providing forefoot and toe reconstruction, respectively. Understanding the surgical aspects of the treatment provides insights into overall care for these challenging wounds. Long-term outcomes studies involving these toe reconstruction techniques are needed to fully evaluate their success in preventing recurrent toe deformity and forefoot ulceration.

UR - http://www.scopus.com/inward/record.url?scp=26944439109&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26944439109&partnerID=8YFLogxK

M3 - Article

C2 - 16014991

AN - SCOPUS:26944439109

VL - 51

JO - Wound management & prevention

JF - Wound management & prevention

SN - 2640-5237

IS - 6

ER -