AI Article Synopsis

  • The study focuses on the effectiveness of the medial plantar artery flap for reconstructing heel and foot defects after trauma.
  • Out of 12 cases reviewed from 2001 to 2013, most patients experienced successful healing, with only one instance of partial flap loss.
  • The authors conclude that this flap is a versatile and beneficial option for treating various foot and heel tissue defects, offering comparable skin texture and sensation.

Article Abstract

Objective: To study use of the medial plantar flap for reconstruction of the heel and foot.

Method: The authors share their clinical experience with the use of the medial plantar artery flap for coverage of tissue defects around the foot and heel after trauma. Twelve cases of medial plantar artery flap performed from January 2001 to December 2013 were included.

Results: Of the 12 patients, ten were male and two were female. The indications were traumatic loss of the heel pad in ten cases and the dorsal foot in two cases. All the flaps healed uneventfully without major complications, except one case with partial flap loss. The donor site was covered with a split-thickness skin graft. The flaps had slightly inferior protective sensation compared with the normal side.

Conclusion: From these results, the authors suggest that the medial plantar artery flap is a good addition to the existing armamentarium for coverage of the foot and heel. It is versatile flap that can cover defects on the heel, over the Achilles tendon and plantar surface, as well as the dorsal foot. It provides tissue to the plantar skin with a similar texture and intact protective sensation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720857PMC
http://dx.doi.org/10.1016/j.rboe.2017.10.009DOI Listing

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