Distal Foot Coverage With a Reverse Dorsalis Pedis Flap

Smith, Anthony A.; Arons, Jeffrey A.; Reyes, Roland S.; Hegstad, Sumiko

doi:10.1097/00000637-199502000-00014

Cited by 28 publications

(10 citation statements)

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“…[1] When the wound involves the toes, the vascular pedicle based on the deep plantar branch is limited and the distal communication between the FDMA and the plantar system becomes invaluable in these cases. [4,14] Although the traditional reverse dorsal pedis flap can be designed to include the area over the extensor retinaculum and even extend proximally over the extensor retinaculum for 3 cm, [1,16] the FDMA flap is safely limited to below the level of the extensor retinaculum. [17] The venous outflow is through the communication between the deep and superficial venous systems.…”

Section: Discussionmentioning

confidence: 99%

Coverage of defects over toes with distally based local flaps: A report of four cases

Koul

Patil

Philip

2008

Indian J Plast Surg

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ABSTRACTreconstruction of the distal foot, especially of the toe has always been a challenging problem. various methods have been tried with variable success rates and limitations. presented here is a series of four cases, where distally based flaps were used. two of them were extensor digitorum brevis (edb) muscle flaps and the other two were first dorsal metatarsal artery (fdma) based skin flaps. one in each of the two was augmented with a plantar v-y advancement flap. all flaps survived completely without any flap- or donor site-related complications. the patients were ambulated two weeks following the reconstruction and were symptom-free after an average follow-up of thirteen months. distal flaps based on the dorsalis pedis system provide a reliable cover for distal foot defects.

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Section: Discussionmentioning

confidence: 99%

Coverage of defects over toes with distally based local flaps: A report of four cases

Koul

Patil

Philip

2008

Indian J Plast Surg

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“…[1] When the wound involves the toes, the vascular pedicle based on the deep plantar branch is limited and the distal communication between the FDMA and the plantar system becomes invaluable in these cases. [414] Although the traditional reverse dorsal pedis flap can be designed to include the area over the extensor retinaculum and even extend proximally over the extensor retinaculum for 3 cm,[116] the FDMA flap is safely limited to below the level of the extensor retinaculum. [17]…”

Section: Discussionmentioning

confidence: 99%

“…The complications are similar to the reverse dorsalis pedis artery flap like poor take of the skin graft on donor site, pain[18] and ulceration. [3121618] To reduce the morbidity of the donor site, it is essential and necessary to preserve the peritenon of the exposed tendons on the dorsum of the foot once the flap is elevated. Secondly, the flap size can be reduced to avoid donor site complications.…”

Section: Discussionmentioning

confidence: 99%

Coverage of defects over toes with distally based local flaps: A report of four cases

Koul

Patil

Philip

2008

Indian J Plast Surg

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Reconstruction of the distal foot, especially of the toe has always been a challenging problem. Various methods have been tried with variable success rates and limitations. Presented here is a series of four cases, where distally based flaps were used. Two of them were Extensor Digitorum Brevis (EDB) muscle flaps and the other two were first dorsal metatarsal artery (FDMA) based skin flaps. One in each of the two was augmented with a plantar V-Y advancement flap. All flaps survived completely without any flap- or donor site-related complications. The patients were ambulated two weeks following the reconstruction and were symptom-free after an average follow-up of thirteen months. Distal flaps based on the dorsalis pedis system provide a reliable cover for distal foot defects.

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“…Localized flap transfer with regional tissue has been widely used in reconstruction of defect on dorsal foot. A traditional distally‐based dorsalis pedis flap has been successfully applied for the reconstruction of a defect on the distal foot. Its vascular anatomy was first described by McCraw and Furlow in 1975.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of a Distal Foot Skin Defect Using an Intermediate Dorsal Neurocutaneous Flap

Liu

Tan

Tao

et al. 2020

Orthopaedic Surgery

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Objective: To present the use of an intermediate dorsal neurocutaneous flap for the reconstruction of defects on the distal foot.Methods: From September 2016 to October 2018, five patients (mean age at operation 33.8 years; range, 7-70 years; female/male = 2/3) with skin defects on one of their feet caused by road-traffic accidents, electrical injury, and syndactyly correction were retrospectively reviewed. The size of the defects ranged from 2.0 cm × 1.0 cm to 5.0 cm × 3.5 cm. All patients had undergone a reconstruction surgery using intermediate dorsal neurocutaneous flap. One patient underwent a syndactyly correction, and four patients first experienced aggressive debridement. The sizes of the flaps were between 5.0 cm × 2.0 cm and 6.0 cm × 4.0 cm. The function, appearance, and pain of the injured foot were assessed using the Chinese Manchester Foot Pain and Disability Index and visual analogue scale.Results: These five patients were systematically followed up for a mean of 15.8 months (range, 12-20 months). The donor sites were closed primarily in two cases, and skin grafts were performed in three cases. All the flaps survived with a success rate of 100%; the wounds healed well, and the color matches were excellent. Partial superficial flap necrosis occurred in one of five flaps, which was treated by dressing change using a hypertonic saline gauze. No significant problems were found at the donor site in any patient immediately afterwards or at follow-up. There were no problems in any patients associated with wearing shoes. Based on the Chinese Manchester Foot Pain and Disability Index, four patients were strongly satisfied and one was satisfied with the recovery of physical function; all the patients were strongly satisfied with the appearance of the injured foot; all five patients had an excellent score of pain intensity subscale. Except for one patient who reported mild pain, all the other patients reported no pain based on the visual analogue scale. Two typical cases are presented in this paper. Conclusions:The intermediate dorsal neurocutaneous flap is an alternative and effective technique that can reliably cover minor-to medium-sized defects on the distal foot, toes, and web spaces. This surgical method leads to satisfactory functional recovery with minimal donor site morbidity, and no major vessels need to be sacrificed. This procedure offers an advisable option for orthopaedic surgeons to treat defects on the distal foot.

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Distal Foot Coverage With a Reverse Dorsalis Pedis Flap

Cited by 28 publications

References 0 publications

Coverage of defects over toes with distally based local flaps: A report of four cases

Coverage of defects over toes with distally based local flaps: A report of four cases

Coverage of defects over toes with distally based local flaps: A report of four cases

Reconstruction of a Distal Foot Skin Defect Using an Intermediate Dorsal Neurocutaneous Flap

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