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Closure of the second toe transfer donor site without disruption of the deep transverse metatarsal ligament

✍ Scribed by Howard R. Webster; Christopher J. Inglefield


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
234 KB
Volume
15
Category
Article
ISSN
0738-1085

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✦ Synopsis


Abstract

The second metatarsal is routinely excised to facilitate closure of the defect created by the harvest of a second toe transfer. However, if the deep transverse metatarsal ligament is not disrupted by the harvest, it seems unnecessarily destructive to remove the metatarsal. A small arterialized venous flap provides a logical solution to the problem of wound closure in this circumstance. This paper describes such a reconstruction, discusses the reasons for its selection and the long term outcome, which has been very satisfactory. © 1994 Wiley‐Liss, Inc.