Management
[PMID:39788449] This technique resulted in significant improvement in functional outcomes, as measured by the AOFAS score, increasing from 62.76 preoperatively to 88.78 at one year post-surgery.
A patient with advanced arteriosclerosis and a soft tissue defect with bone exposure after big toe arthrodesis was successfully treated using a fasciocutaneous radial free flap microanastomosed to the posterior tibial artery [PMID:33601459].
Complications
[PMID:39788449] No differences in ROM were found between pre- and postoperative values at 6 months, but a significant improvement was noted at 12 months, suggesting minimal short-term complications with long-term benefits.
The case highlighted advanced arteriosclerosis with single-vessel supply to the foot via the posterior tibial artery, necessitating the use of a complex flap reconstruction to avoid amputation [PMID:33601459].
Prognosis & Follow-up
[PMID:39788449] Hyperkeratosis resolved completely in 88.88% of cases one year after surgery, indicating favorable long-term outcomes.
The patient experienced satisfactory soft tissue coverage and an aesthetically pleasing result post-reconstruction with the 'Chinese' radial flap, indicating positive long-term prognosis [PMID:33601459].
References
1 Boemio A, Sergio F, Catani O, Cattolico A, Sieczak A, Boccino M et al.. Treatment of irreducible second metatarsophalangeal joint dislocation by double percutaneous osteotomy: Haspell and distal metatarsal mini-invasive osteotomy. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons 2025. link 2 Ring A. An Extraordinary Reconstruction of a Postoperative Defect after Metatarsophalangeal Joint Arthrodesis of the Big Toe Using the "Chinese Forearm Flap". Zeitschrift fur Orthopadie und Unfallchirurgie 2022. link
2 papers cited of 3 indexed.