Shrikant V Bhoyar*¹ and Medha Bhoyar²

¹Department of Diabetic Foot Surgery, Dr. Bhoyar’s Diabetes and Diabetic Foot Clinic Mumbai, India
²Diabetologist, Dr. Bhoyar’s Diabetes and Diabetic Foot Clinic Mumbai, India

*Corresponding Author: Shrikant V Bhoyar, Department of Diabetic Foot Surgery, Dr. Bhoyar’s Diabetes and Diabetic Foot Clinic Mumbai, India.

Received: November 06, 2024; Published: March 30, 2025

Abstract

Wound closure for the diabetic foot can be challenging and often involves amputation or reconstruction. There are described surgical techniques of lesser toe fillet flap in the management of a diabetic foot wound. But the using the Great toe as fillet flap to cover the complete and large diabetic wound like Trans metatarsal amputation are very few. Here I am trying to describe few cases where Great toe fillet flap is used to cover these Wounds. The great toe flap is used when it is unsalvageable great toe because of infection or osteomyelitis of phalangeal bone. By definition fillet flaps are axial- pattern flaps that can be used as composite -tissue transfer. These flaps are also useful when there is moderate peripheral vascular deficit.

 Keywords: Diabetes Mellitus; Diabetic Foot; Toe Fillet Flap; Amputation

References

1. Sze-Ryn Chung., et al. “The lateral lesser toe fillet flap for diabetic foot soft tissue closure”. Diabetic Foot Ankle 5 (2014): 10.
2. Kuntscher MV., et al. “The concept of fillet flaps; classification, indications and analysis of their clinical value”. Plastic and Reconstructive Surgery 108 (2001): 885-896.

Citation

Citation: Shrikant V Bhoyar and Medha Bhoyar. “Fillet Flap of Great Toe as a Wound Cover in Diabetic wounds".Acta Scientific Orthopaedics 8.4 (2025): 04-06.

Copyright

Copyright: © 2025 Shrikant V Bhoyar and Medha Bhoyar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.