Bony Defects of the Foot Lead to High Rates of Transfer Lesion Development: Soft Tissue Reconstruction Is Not Enough in the Chronic Wound Population

摘要

BACKGROUND: Bony resection is often necessary before soft tissue reconstruction in the chronic wound population due to osteomyelitis and bony abnormalities. Although transmetatarsal amputation is argued to be the most functional approach when extensive bony resection is required, recent evidence suggests preservation of the first 2 rays may improve load-bearing at the expense of an increased risk of subsequent procedures.1 Altering the metatarsal parabola also increases the risk of transfer lesion development as one metatarsal takes on more weight. The aim of this study was to investigate the risks of ulcer recurrence and transfer lesion development after microsurgical soft tissue reconstruction with underlying bony defects.