The reverse first dorsal metatarsal artery flap for the defects of the distal foot / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To explore a new method to reconstruct the defect of the distal foot.</p><p><b>METHODS</b>A distally based dorsum pedis island flap pedicled with the first dorsal metatarsal artery was designed and transferred to the defect of the distal foot.</p><p><b>RESULTS</b>Five patients were treated with this flap, which ranged from 2 cm x 4 cm to 6 cm x 7 cm in size. Four flaps survived completely, one flap had marginal necrosis and healed after conservative therapy.</p><p><b>CONCLUSIONS</b>The reverse first dorsal metatarsal artery flap, with good blood circulation and easy manipulation, is a good option for the defects of the distal foot.</p>