Flap Coverage in Diabetic Ulcer: A Single Case Report

Krisbanu*, Puji Sriyani**

*Resident of General Surgery Residence Faculty Medicine of Diponegoro University / Dr. Kariadi
General Hospital Center, Semarang Indonesia
** Staff of Sub Division of Plastic Surgery Departement Faculty Medicine of Diponegoro
University / Dr. Kariadi General Hospital Center, Semarang Indonesia

ABSTRAK
OBJECTIVE: To report a case of diabetic patients in whom the reconstruction of
large sized defect of the foot was performed using keystone flap.

CASE REPORT DISCUSSION

A diabetic 42 years old male, came to Dr. In this case, the decision to apply
Kariadi hospital with the chief complaint keystone flap was taken after previous
unhealed foot wound after stepping on a VAC free flap procedure was failed. The
small stone. During the first 30 days, the
flap survived and remained viable during
wound was treated in community health
the follow up period. A considerable
centre (Puskesmas) and resulted in widened
wound. On physical examination there was amount of granulation was then followed
an open wound found in the left foot. After by a successful healing.
two debridement and failed first free flap
procedures with VAC assistance, the decision
to apply the keystone flap was taken.

CONCLUSION:
Diabetic foot management poses a considerable challenge for surgeon. The decision to treat an diabetic ulcer
should consider the clinical aspects of the patient. Keystone flap can be used to achieve acceptable function
and aesthetic results for diabetic foot reconstruction

Keywords: diabetic ulcer; VAC; flap