Cover Image

MICROVASCULAR RECONSTRUCTION OF REVASCULARISED DIABETIC LIMB

ADHIL AHAMED YAMEEN K KADHERMOHIDEEN

Abstract


AIM -Reconstruction in a revascularised
diabetic limb should result in the useful,
shoeable and stable foot or remnants
of foot that renders the patient ambulant.
METHODS 14 cases of revascularised
diabetic feet were reconstructed in
the Department of Plastic surgery in Madras
Medical College.12 males and 2 females
aged between 55 to 62 years with
6 Latissimus Dorsi flaps,4 Gracilis flaps,1
Radial free forearm flap,2 Antero Lateral
Thigh flaps and 1 Medial Plantar Artery
Flap. RESULTSMean time taken from
revascularisation and reconstruction to
shoeable and stable foot or foot remnants
is 3 months. Complications were
seen in 3 cases .Conclusion- vascular
free flaps bring in well vascularised tissue
for stable cover of the diabetic foot
with minimal complications.
Keyword :Revascularised diabetic
foot,Microvascular Reconstruction


Full Text:

PDF

References


International Diabetes Federation

atlas of diabetes.5thed.,http://

www.idf.org/diabetes atlas; 2011.

Layne O.Gentry,Julia B Garcia –

Diaz,GeorgeA.Pankey.Contemporar

y diagnosis and management of Diabetic

Foot Infections 2006;1:9.

Park’s Text Book of Preventive and

Soc i a l Medic i n e . 1 7 t h e d ition.

Jabalpur,India:M/S Banarsidas

Bhanot 2000;294,443.

BrownriggJ.R.W,Apelqvist.J,Bakke

r.K,Schaper N.C.Evidence based

Management of PAD & the Diabetic

Foot:European Journal of Vascular

and Endovascular Surgery.Vol

,Issue 6,June 2013:675

Tae Suk Oh,Ho Seung Lee,Joon Pio

Hong.Diabetic foot reconstruction using

free flaps increases 5 –year survival

rate:Plast Reconstr Surg 2013;66:243 –

Randon C,Jacobs B,De Ryck F et al .A

– year Experience with Combined Vascular

Reconstruction and Free Flap Transfer

for Limb – Salvage:Eur J Vasc Endovasc

Surg 2009;38:338 –345.

Baek Kyu Kim et al. Analysis of multiple

risk factorsaffecting the result of free flap

transfer fornecrotizing soft tissue defects

of the lower extremities in patients with

type 2 diabetes mellitus:Journal of Plastic,

Reconstructive & Aesthetic Surgery

;1 – 5( in press)


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University