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Covering small defects on the weight bearing surfaces of the foot: the free temporal fasciocutaneous flap  O. Heymans, N. Verhelle, T. Lahaye  British.

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Presentation on theme: "Covering small defects on the weight bearing surfaces of the foot: the free temporal fasciocutaneous flap  O. Heymans, N. Verhelle, T. Lahaye  British."— Presentation transcript:

1 Covering small defects on the weight bearing surfaces of the foot: the free temporal fasciocutaneous flap  O. Heymans, N. Verhelle, T. Lahaye  British Journal of Plastic Surgery  Volume 58, Issue 4, Pages (June 2005) DOI: /j.bjps

2 Figure 1 Comparable histological sections with the fibrous septae in the heel (arrows, A) and the dense connective tissue between the skin and the underlying fascia in the scalp (arrows, B). British Journal of Plastic Surgery  , DOI: ( /j.bjps )

3 Figure 2 Clinical results. (A) Peroperative result. (B) Postoperative result after 3 months with apparent hair growth. (C) Result after 6 months with clearly less hair growth. (D) Result 1 year postoperatively after laser hair removal. British Journal of Plastic Surgery  , DOI: ( /j.bjps )

4 Figure 3 Clinical effect of the shearing strains and the resulting sliding of a radial forearm flap after transfer to a heel defect. (A) Without shearing strains. (B) During shearing strains. British Journal of Plastic Surgery  , DOI: ( /j.bjps )

5 Figure 4 Schematic drawings after free tissue transfer. (A) Free muscle grafted with two sliding planes; one between the muscle and the bone, a second between the muscle and skin graft. (B) Free fasciocutaneous flap with the fascia strongly attached to the periostium leaving only one sliding plane. (C) The apparent connections of fibrotic tissue between the skin and underlying fascia in the scalp. (D) Free fasciocutaneous temporal flap with maximal resistance to shearing strains. British Journal of Plastic Surgery  , DOI: ( /j.bjps )


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