MICROVASCULAR RECONSTRUCTION OF REVASCULARISED DIABETIC LIMB
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
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