Reconstruction Outcomes of Oncologic Foot Defect Using Well-Contoured Free Perforator Flaps.

摘要: Reconstruction of foot defects following oncologic resection is a crucial element in the treatment soft tissue malignancy foot. The present study aimed to comprehensively evaluate outcomes reconstruction using free perforator flaps. Outcomes patients with who underwent flap ablative surgery were reviewed, and perioperative delayed complications (secondary debulking operation instability) documented. Foot Function Index (FFI) questionnaire was surveyed assess functional status. Overall, 72 analyzed, median follow-up period 28 months. Malignant melanoma predominant etiology. Three kinds flaps used, thoracodorsal artery being most common. Flaps skin dimensions matching defect size inset thickness controlled primary defatting. Flap re-exploration conducted 11 (15.2%) cases total loss occurred 3 (4.2%) cases. Delayed developed an additional 12 cases, therefore 23 (31.9%) required return operating room. average FFI score 8.86 at postoperative month 36, on (range 11–128 months). All respondents reported independently ambulatory had minimal difficulty their daily lives. weight-bearing regions showed significantly higher than that nonweight-bearing (mean 11.96 vs. 4.79, p = 0.029), although scores remained very low for both instances. Oncologic can be reliably reconstructed well-contoured morbidity.