The Use of a Free Medialis Pedis Flap for Resurfacing Skin Defects of the Hand and Digits

Free medial plantar artery perforator flap for finger pulp reconstruction: Report of a series of 10 cases

“…Although Koshima et al reported the successful use of free medial plantar artery perforator flaps for reconstructing finger and foot defects without transecting the medial plantar or posterior tibial system, subsequent reports have been sparse. 15 The Medialis pedis flap was first described by Masquelet and Romana 25 and was later used as a free flap by Ishikura et al 7 This flap has been used to reconstruct defect of the volar side of finger. 26,27 Compared with the MPAP flap, which also provides a glabrous skin surface, the medialis pedis flap is thinner and may not always provide an adequate cushioning surface.…”

“…26,27 Compared with the MPAP flap, which also provides a glabrous skin surface, the medialis pedis flap is thinner and may not always provide an adequate cushioning surface. Ishikura et al 7 reported that the disadvantages of medialis pedis flap is that it usually requires a skin graft for donor-site closure, and the resulting scar on the tubercle of the navicular bone may be painful when wearing shoes. However, although MPAP flaps are thicker than medialis pedis flaps, the scarring resulting from MPAP flaps is relatively inconspicuous.…”

“…The deep division of the medial plantar artery subdivides into lateral and medial branches. 7,28 The medial branch is continuous on the medial surface of the foot over the insertion of the tibialis posterior muscle, proximal to the tubercle of the navicular bone. 29 The medialis pedis flap receives its blood supply from the medial branch of deep division of the medial plantar artery.…”

Anatomical basis and design of the distally based lateral dorsal cutaneous neuro-lateral plantar venofasciocutaneous flap pedicled with the lateral plantar artery perforator of the fifth metatarsal bone: a cadaveric dissection

“…Reiffel and McCarthy [17] utilized anatomical dissections and clinical cases that showed several variations of medial and lateral plantar flaps. In 1995, Masquelet and Romana [12] and Ishikura et al [6] reported the successful use of the medialis pedis flap based on a branch from the medial plantar artery for the reconstruction of foot soft-tissue defects. In 2001, Koshima [9] reported a free medial plantar artery perforator flap that was exclusively based on the medial plantar artery perforator only.…”

Free Dorsoulnar Perforator Flap Transfers for the Reconstruction of Severely Injured Digits

“…Free medialis pedis [17][18][19] and free temporoparietal fascia flaps 20 were reported, but general anesthesia is needed to perform these operations. A fillet flap from the amputated fingers, the thenar flap, 7 and the posterior interosseous flap may be possible to perform under regional anesthesia; however, some authors have been concerned about the anatomical variability for posterior interosseous flaps.…”