MYCETOMA OF THE FOOT - SURGICAL-TREATMENT WITH FREE-FLAP RECONSTRUCTION

Mycetoma (Madura foot) is a chronic fungal or bacterial infectious pro cess characterized by a discharging mass, Medical treatment is general ly insufficient, and surgical eradication, sometimes by amputation, is advocated. Although a benign disease, the tumor's nature may be consi dered malignant in view of limb's fate, Reconstruction of a foot with a free tenser fascia lata musculocutaneous flap, following large mycet oma mass resection in a 28-year-old patient is described. A year after surgery, the patient uses the leg without limitation and no recurrenc e is evident. This limb preservation technique, which enables rapid re habilitation and ambulation, is superior to amputation.