The dorsal metatarsal artery perforator (DMtAP) flap is a relatively new flap in the reconstructive armamentarium. Our understanding has only recently increased with data from cadaveric dissections, which have increased our understanding of the DMtAP system of the forefoot. Sporadic reports in the literature have been published regarding its various uses for defects around the forefoot. This review aims to summarize the reports and results thus far in the literature and bring together the anatomical evidence of DMtAPs in the forefoot. We also demonstrate our experience in raising a DMtAP flap and its potential use for reconstruction of the forefoot after skin cancer surgery. This is a versatile and reliable flap.

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