Reconstruction of soft-tissue lesions of the foot with the use of the medial plantar flap

ABSTRACT OBJECTIVE: To study use of the medial plantar flap for reconstruction of the heel and foot. METHOD: The authors share their clinical experience with the use of the medial plantar artery flap for coverage of tissue defects around the foot and heel after trauma. Twelve cases of medial plantar artery flap performed from January 2001 to December 2013 were included. RESULTS: Of the 12 patients, ten were male and two were female. The indications were traumatic loss of the heel pad in ten cases and the dorsal foot in two cases. All the flaps healed uneventfully without major complications, except one case with partial flap loss. The donor site was covered with a split-thickness skin graft. The flaps had slightly inferior protective sensation compared with the normal side. CONCLUSION: From these results, the authors suggest that the medial plantar artery flap is a good addition to the existing armamentarium for coverage of the foot and heel. It is versatile flap that can cover defects on the heel, over the Achilles tendon and plantar surface, as well as the dorsal foot. It provides tissue to the plantar skin with a similar texture and intact protective sensation.

Bibliographic Details

Main Authors:	Macedo,Jefferson Lessa Soares de, Rosa,Simone Corrêa, de Rezende Filho Neto,Altino Vieira, Silva,Adilson Alves da, Amorim,Alex Corcino Silva de
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Ortopedia e Traumatologia 2017
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000600699
Tags:	Add Tag No Tags, Be the first to tag this record!