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J Reconstr Microsurg 1996; 12(5): 297-302
DOI: 10.1055/s-2007-1006489
ORIGINAL ARTICLE

© 1996 by Thieme Medical Publishers, Inc.

Moving Car-Tire Injuries of the Foot: Reconstruction with Microvascular Free Flaps

Ersin Nuzumlali, Can Gürbüz, Ümit Kantarci, Selim Cepel, Oya Bayri, Oğuz Polatkan
  • Istanbul Hand Surgery and Microsurgery Center, Aksaray Vatan Hospital, Istanbul, Turkey
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Publication History

Accepted for publication 1995

Publication Date:
08 March 2008 (online)

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ABSTRACT

Moving car-tire injury of the foot is a condition that appears to be a new clinical entity in Istanbul, in which the non-weight-bearing surface of the foot is prone to be injured. Between 1992 and 1995, eight moving car-tire injuries of the foot were managed. Patient age averaged 10.25 years (range: 7 to 21 years). All patients presented with soft-tissue loss combined with extensor tendon and bone lesions. In 6 patients, immediate flap coverage after initial debridement and, in 2 patients, delayed coverage after multiple debridements, were performed. All the flaps survived. Although in all patients, the weight-bearing region was always intact, some had gait-pattern abnormalities due to the bone and soft-tissue injuries. Early removal of all devitalized tissues and closure of the wounds with transfer of healthy tissue have a higher rate of success, lower incidence of infection, require fewer operative procedures, and shorter hospitalizations.

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