The reverse medialis pedis flap for coverage of forefoot skin defects / 中华整形外科杂志

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>