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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
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
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
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
• 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[...]
