A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis. (March 2018)

• Record Type: Journal Article
• Authors: Saipoor, Amir; Maher, Anthony; Hogg, Lance
• Is Part Of: Foot. Volume 34(2018)
• Page Start: 23
• Page End: 27
• Publication Date: 2018-03
• Subjects: IPK intractable plantar keratosis -- MOXFQ Manchester Oxford foot questionnaire -- PASCOM podiatric surgery and clinical outcome measurement -- PSQ-10 patient satisfaction questionnaire -- MCID minimal clinically important differences -- ASA American Society of Anaesthesiologist grading system -- SD standard deviation; Schrudde's flap -- Rotation skin flap -- Painful plantar lesions -- Foot -- Intractable plantar keratosis; Foot -- Diseases -- Periodicals; Foot -- Surgery -- Periodicals; Foot Diseases -- Periodicals; Foot -- surgery -- Periodicals; Pied -- Maladies -- Périodiques; Pied -- Chirurgie -- Périodiques; Pied -- Lésions et blessures -- Périodiques; Foot -- Diseases; Foot -- Surgery; Periodicals; Electronic journals; Electronic journals; 617.585005
• DOI: 10.1016/j.foot.2017.09.004
• Languages: English
• ISSNs: 0958-2592

Abstract

Highlights: Retrospective study presenting outcome of Schrudde's flap excision may be a safe and viable surgical option in treatment of intractable plantar keratosis. Demonstration and illustration of Schrudde's flaps technique. Discussion of other surgical treatments reported and their study outcomes. Abstract: Aim: The purpose of this study was to evaluate the treatment of plantar skin lesions by excision and rotation skin flap closure with reference to patient satisfaction; patient reported outcomes and complication rates. Method: A retrospective audit of 54 consecutive patients who had undergone plantar lesion excision with rotation skin flap between May 2011 and November 2015 under the care of experienced consultant podiatric surgeons. A total of 36 patients were included in this study, 16 were lost to follow up, 2 patients were excluded due to non-related pathology. Outcomes were reviewed retrospectively via data extracted from PASCOM-10. This included the MOXFQ and also the PSQ-10 patient satisfaction questionnaire. Data extracted was analysed. Results: The mean MOXFQ scores improved across the three domains. Walking/standing improved from 68.75 (SD: 17.62) pre-operative to 41.38 (SD: 32.94) post-operative. Pain improved from 63.47 (SD: 19.41) pre-operative to 36.53 (SD: 25.51) post-operative and social interaction improved from 53.88 (SD: 20.33) pre-operative to 29.13 (SD: 26.56) post-operative. Similarly, the PSQ-10 scores have shown positive outcomes where 88.9% out of the cohort felt that their aims of surgery had been met. Conclusion: This audit has demonstrated that the Schrudde flap is an effective and alternative safe surgical procedure for the treatment of intractable plantar keratosis and viral warts.