Medial Plantar Artery Flap for Heel Reconstruction: A 22-year Follow-up

Bhandari, Padam Singh; Srivastava, Vaishali

doi:10.5005/jp-journals-10040-1257

Cited by 1 publication

(1 citation statement)

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“…The factors affecting the occurrence of ulceration were found to be continuous pressure by bony prominences, flap inset, and improper footwear [ 14 ]. Bhandari and Srivastava [ 18 ] conducted a study involving 29 patients with soft tissue defects treated with a medial plantar artery flap, and no ulceration developed in 11 patients who followed up for 22 years. Other reported minor flap complications included partial flap necrosis, delayed flap healing, infection, and hematoma [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Medial Plantar Artery Flap in Heel Pad Reconstruction: A Report of Two Cases

Oon¹,

Kow²,

Alwi³

et al. 2023

Cureus

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The heel and sole possess unique anatomical characteristics that serve a weight-bearing and shockabsorbing function. The heel is particularly vital, as any defects in this area can lead to gait instability. Reconstructing a heel defect presents challenges, as the donor flap must be durable enough to withstand high force loads while also providing protective sensation. Recently, the medial plantar artery flap has been successfully employed for the reconstruction of defective heel pads. This flap offers glabrous skin capable of weight transmission and intact protective sensation. In this report, we present two cases of heel pad loss secondary to chronic diabetic complications and trauma, respectively, which were treated with medial plantar artery flap reconstruction. Both cases were successfully treated, and they showed a good functional outcome.

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Section: Discussionmentioning

confidence: 99%