Weight-bearing plantar reconstruction using versatile medial plantar sensate flap

Donor site morbidity of the medial plantar artery flap studied with gait and pressure analysis

“…Previously the donor morbidity of the MPA flap has been reported in studies using subjective analysis only [6,7]. In this study we assessed the gait and donor morbidity of patients following MPA flap harvest subjectively using the FFI and Enneking questionnaires and objectively at the West of England's Human Analysis Laboratory.…”

“…The MPA donor site has previously been reported as having minimal morbidity [6,7], and is generally reconstructed with a split skin graft [6,7]. However in the harvest of this flap the plantar fascia is breached and a portion harvested with the flap.…”

Anatomic basis and clinical application of the distally based medialis pedis flaps

“…Anatomic studies concerning the vascular supply of the medial aspect of the foot were performed to provide plastic surgeons with a new alternative for forefoot reconstruction [14,29,38,48,49].…”

The Lateral Plantar Artery as Recipient Vessel for Microsurgical Lateral Plantar Forefoot Reconstruction: Case Report

“…Therefore, glabrous plantar skin from the spare part of foot is the first choice. Several local flap options have been described to reconstruct the plantar forefoot defect, including V-Y plantar flap [9], plantar marginal septum cutaneous island flap [10], island lateral plantar artery perforator flap [11], and distally based or reverse medial plantar flap [3,12,13]. In particular, the conventional flap design of the medial plantar flap has often limited mobilization, but if based on its retrograde flow, the arch of movement of the flap can greatly improve.…”

“…With the advent of microsurgical techniques, free flaps become more and more popularly employed in plantar forefoot reconstruction [1][2][3][4][5][6][7]. Although the choice of an optimal flap is very important, the selection of appropriate recipient vessels is also equally crucial.…”