Foot and Ankle Reconstruction: Pedicled Muscle Flaps versus Free Flaps and the Role of Diabetes

Ducic I, Attinger CE (Georgetown Univ Hosp, Washington, DC) Plast Reconstr Surg 128:173-180, 2011^§

Abstract

Background

The effectiveness of pedicled muscle flaps versus microsurgical free flaps in patients with diabetes mellitus for complex foot and ankle reconstruction has not been well defined.

Methods

The Georgetown Wound Registry identified all patients who underwent pedicled muscle flap or free flap reconstruction from 1990 to 2000 with 8.1 ± 3.1-year follow-up. Thirty-eight diabetic and 42 nondiabetic patients were identified. Flap coverage was the reconstructive choice for defects with exposed tendons, joints, or bone, with pedicled muscle flaps always selected for smaller defects.

Results

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