Severe Soft Tissue Loss on Dorsum of the Foot with Irreparable Hallucis Extensors: An Orthoplastic Reconstruction Case Report.

JBJS case connector 2023 Vol.13(4)

Veigas TA, Pinto E, Godinho M, Caixeiro L, Zenha H, Atilano P, Teixeira J

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Abstract

[CASE] A motorcycle accident resulted in severe soft tissue loss on the foot's dorsum with irreparable hallucis extensors, with exposure of the first metatarsal and hallux. An arthrodesis of the hallux interphalangeal joint, a transfer of the second toe's extensor digitorum longus, and an anterolateral thigh free flap were performed simultaneously. The patient obtained a fair result and could wear regular shoes.

[DISCUSSION] This is the first report describing this orthoplastic reconstructive option in these complex injuries. It replenished both hallux extensor tendons and soft tissue coverage losses without severely compromising the foot's contour, recreating anatomy and function.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
해부 dorsum 콧등 dict 2
시술 free flap 피판재건술 dict 1
해부 Soft Tissue scispacy 1
해부 Foot scispacy 1
해부 extensor digitorum longus scispacy 1
해부 flap scispacy 1
해부 extensor tendons scispacy 1
합병증 foot scispacy 1
질환 tissue loss scispacy 1
질환 arthrodesis C0003881
Arthrodesis
scispacy 1
질환 hallux extensor tendons scispacy 1
질환 Hallucis Extensors scispacy 1
기타 anterolateral thigh scispacy 1
기타 patient scispacy 1

MeSH Terms

Humans; Tendon Transfer; Foot; Hallux; Tendons; Toes

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