Coverage of diabetic ulcer of the heel by muscle transposition a case report.
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A 57-year-old diabetic female presented with heel ulcerations of the weight-bearing area and the lateral side. She had previously undergone a left below knee amputation. At operation, surrounding tissue of the ulcers was excised and a combined flap composed of flexor digitorum brevis muscle and abductor digiti minimi muscle was elevated and transferred with free skin graft over the flap. Though the transferred muscle flap survived in its entirety, the skin graft over the muscle resulted in total necrosis. Then, the necrosed skin graft was debrided and this defect was covered with split-thickness skin graft. The wound healed without any complications.
- 西日本整形・災害外科学会の論文
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