Plantar flap reconstruction for acral lentiginous melanoma

Gregory R.D. Evans, Jeffrey D. Friedman, Jay M. Shenaq, Scott Mosser

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Background: Acral lentiginous melanoma continues to be difficult to diagnose despite an overall trend toward early identification of smaller and thin lesions. The insidious nature of this lesion often precludes primary closure of the surgical defect once it is excised, adding to the reconstructive complexity. Local flaps on the plantar foot offer an option for reconstruction when the defect is of intermediate size. Methods: Eight patients (5 men and 3 women, with an average age of 58 years) who underwent plantar flap reconstruction for defects isolated to the weight-bearing heel were retrospectively reviewed. Results: The average depth of the melanoma was 2.82 mm. Surgical margins were 2 cm or less in seven of the eight patients. Partial flap necrosis occurred in one patient, and loss of part or all of the skin grafts was noted in two patients. Currently five patients are alive with no evidence of disease. Conclusion: The plantar flap can provide local well-vascularized tissue for weight-bearing areas where skin grafting alone may not be appropriate. Coverage of these areas with well-padded flaps led to ambulation in all of the patients studied. We believe this flap offers durable coverage for medium-sized defects in acral lentiginous melanoma. Published by Lippincott-Raven Publishers

Original languageEnglish (US)
Pages (from-to)575-578
Number of pages4
JournalAnnals of Surgical Oncology
Volume4
Issue number7
DOIs
StatePublished - 1997

Keywords

  • Acral lentiginous melanoma
  • Plantar flap

ASJC Scopus subject areas

  • Surgery
  • Oncology

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