Soft tissue management in the foot and ankle

Abstract

Successful soft tissue reconstruction of the foot and ankle is challenging and often needs an interdisciplinary approach, especially when composite defects are present. This chapter provides a coherent concept to treat cases of severe skin and soft tissue damage of the foot and ankle. A functional and anatomical subdivision of the foot and ankle region is proposed depending on its pressure distribution, soft tissue quality, zones of shear and the structural anatomy. A treatment algorithm, highlighted by two clinical cases, is presented considering common and well established local, regional and micro-surgical reconstructive options to restore maximum sensibility, motor function and aesthetics.