Medial plantar flap based distally on the lateral plantar artery to cover a forefoot skin defect

• Published in: Plastic and reconstructive surgery (1963) Vol. 106; no. 4; pp. 874 - 877
• Main Authors: OBERLIN, C, ACCIOLI DE VASCONCELLOS, Z, TOUAM, C
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 01-09-2000
• Subjects: Adult; Arteries - surgery; Biological and medical sciences; Foot Injuries - surgery; Foot Ulcer - surgery; Forefoot, Human - blood supply; Forefoot, Human - injuries; Humans; Male; Medical sciences; Microsurgery - methods; Orthopedic surgery; Skin plastic surgery; Soft Tissue Injuries - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgical Flaps - blood supply; Wound Healing - physiology; Human; Reconstruction; Diseases of the osteoarticular system; Lower limb; Plastic surgery; Male; Anatomy; Foot; Result; Case study; Foot sole; Treatment; Surgery; Distal; Disease of the foot; Young adult; Soft tissue; Lesion; Technique; Flap (surgery)
• ISSN: 0032-1052; 1529-4242
• DOI: 10.1097/00006534-200009020-00020

The authors report a simple, single-step procedure to promote the distal transfer of the instep island flap for coverage of the submetatarsal weight-bearing zone. First described in 1991 by Martin et aI, this procedure remained unknown. As opposed to the medial plantar flap, this technique proposes an instep island flap based on the lateral plantar artery. The inflow and outflow of blood is assured by the anastomosis between the dorsalis pedis and lateral plantar vessels. This approach allows for the transfer of similar tissue and provides adequate coverage of the weight-bearing zone of the distal forefoot.