Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 11 , ISSUE 4 ( October-December, 2024 ) > List of Articles

CASE REPORT

Single-stage Hallux Reconstruction with Free Wraparound Medial Plantar Artery Flap with Iliac Bone Graft: A Case Report

Raghuram Menon, Sharafuddeen Mammu, Sebin Thomas, Siby Punnoose

Keywords : Bone graft, Case report, Gangrene, Hallux reconstruction, Medial plantar artery, Paronychia

Citation Information : Menon R, Mammu S, Thomas S, Punnoose S. Single-stage Hallux Reconstruction with Free Wraparound Medial Plantar Artery Flap with Iliac Bone Graft: A Case Report. J Foot Ankle Surg Asia-Pacific 2024; 11 (4):204-207.

DOI: 10.5005/jp-journals-10040-1356

License: CC BY-NC 4.0

Published Online: 20-09-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Hallux reconstruction remains a challenging endeavor. The main aim of reconstruction is robust soft tissue cover with minimal contour abnormality to permit normal footwear and mobility. We had a young female present with gangrenous hallux. After discussing the various treatment options, a single-stage procedure was undertaken using a free wraparound medial plantar artery flap combined with an iliac bone graft. This innovative approach allowed for simultaneous restoration of soft tissue coverage and bony support, resulting in remarkable functional and esthetic improvement. The postoperative period was uneventful, resulting in a stable discharge. The patient was able to attend work and function in her premorbid capacities well, with remarkable functional and esthetic improvement.

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