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Types of Wound Closure:
Pedicle flaps
Pedicle flaps can be used to provide soft tissue
closure with a defined blood flow and innervation. These are
particularly desirable when the wound tissue is relatively
avascular, such as bone, cartilage, or tendon, or has been
rendered avascular by radiation or scarring. In the
accompanying images, a large ulcer on the plantar surface of
a diabetic foot has been closed with a "bridge" created from
the soft tissue (digital artery preserved) that formerly
enclosed the head of the first metatarsal bone and tendon.
The bridge is rotated to cover the debrided ulcer site and
sewn in.
Video Resource: Use of Pedicled Flaps in the
Surgical Salvage of the Diabetic Foot, Christopher E.
Attinger, M.D., 1993 (VHS 35 minutes) available from
Ciné-Med's
ACS/USSC
Educational Library (Integumentary System)
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