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J Reconstr Microsurg 1999; 15(6): 409-413
DOI: 10.1055/s-2007-1000119
ORIGINAL ARTICLE

© 1999 by Thieme Medical Publishers, Inc.

Combined Pedicle and Free‐Tissue Transfer to Improve Functional Restoration of the Foot: The “Backpack Principle”

G. Germann, D. Wieczorek
  • Department of Plastic and Hand Surgery - Burn Center - BG Trauma Center, University of Heidelberg, Germany
Further Information

Publication History

Accepted for publication 1999

Publication Date:
08 March 2008 (online)

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ABSTRACT

Reconstruction of weight-bearing areas of the foot remains a challenging problem for the reconstructive surgeon. The principle described involves the combination of an innervated regional pedicle flap providing sensate, durable coverage of the weight-bearing heel, and a microvascular fascia flap for thin, pliable coverage of a large surface defect, based on the same vascular bundle. This provides excellent long-term stability and minimizes the disruption of blood supply to the foot. The result after 3 years demonstrates that this concept may represent an interesting solution for these particular problems.

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