RESUMO
<p><b>OBJECTIVE</b>To explore the clinical effect of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps.</p><p><b>METHODS</b>12 cases with soft tissue defects of forefeet were treated by plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps. The flap size ranged from 3.0 cm x 3.5 cm to 5.5 cm x 8.5 cm.</p><p><b>RESULT</b>All flaps survived completely. The patients were followed up for 6 - 24 months. The texture and flexibility of the flaps were normal with no ulcer. The sensation improved with the two-point discrimination of 7 - 10 mm. The cosmetic and functional results were satisfactory. The wounds at donor site healed primarily.</p><p><b>CONCLUSIONS</b>The flaps have expanded size for large defects with good flexibility, thickness and texture. It is easily performed with less morbidity to main artery.</p>