ABSTRACT
<p><b>OBJECTIVE</b>To study a new method to repair forefoot skin defects.</p><p><b>METHODS</b>Based on anatomical studies, a reverse medialis pedis flap was designed for coverage of forefoot skin defect. The flap was based on the distal end of the medial plantar artery and had distal anastomosis with the lateral plantar artery and dorsal metatarsal artery.</p><p><b>RESULTS</b>The flap was used clinically in 6 cases. The size of the flap ranged from 4 x 3 cm to 11 x 9 cm. The pedicle of the flap was 6 to 11 cm. All flaps survived completely. The aesthetic and functional results were satisfactory after 6-24 months follow-up.</p><p><b>CONCLUSION</b>The flap is one of the best choices for repairing of forefoot skin defects.</p>
Subject(s)
Adolescent , Adult , Female , Humans , Male , Foot , General Surgery , Surgical FlapsABSTRACT
Objective To report the method for repair of the heel and ankle.Method On the basis of applied anatomy,the reversed island flap based on sural neurovascular pedicle has been designed for repair of heel and ankle defects.Results The flaps have been used in 14 cases,the maximum size 9 cm×15 cm,and all flaps were survival compeletely except partial necrosis in one flap.Conclusion The blood supply of the flap is good.The length of pedicle can reach 12 cm.It is an effective method for repair of heel and ankle defects.