International dermatosurgery: use of medial plantar based skin flaps for correction of foot defects.

The recently described instep island flap can be used to restore foot tissue deficits, however, its usefulness is limited by the length of the neurovascular pedicle and by the small surface of the flap. This flap can also be used as a free or as a cross-foot flap. We describe our experience with 10 patients.