Techniques for Soft-tissue Coverage of the Foot and Ankle

Abstract

Reconstructive soft-tissue coverage of the foot and ankle remains a challenging clinical problem. Its successful achievement requires selection of the optimal surgical approach to a specific situation in a particular patient, and excellent soft-tissue handling to minimize wound complications, whose risk is increased by a suboptimal tissue bed and medical comorbidities. The best outcomes in reconstructive tissue coverage of the foot and ankle result from the timely recognition of postoperative issues in wound healing and from early reconstruction with grafts or flaps to provide stable soft-tissue coverage. This article reviews the various options for soft-tissue coverage of the foot and ankle and the indications for their use, as well as their outcomes.

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