Abstract
The medial plantar flap is a highly versatile flap that is commonly used to reconstruct defects in the foot and ankle. It enables like for like reconstruction with minimal effect on gait. It is typically based on the medial plantar artery and can be raised as either a sensate or non-sensate flap, depending on whether the medial plantar nerve is included. In this chapter we describe its anatomy along with common variations, and give a step-wise approach for raising the flap. Tips and common pitfalls are included to improve the likelihood of success.
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References
Shanahan RE, Gingrass RP. Medial plantar sensory flap for coverage of heel defects. Plast Reconstr Surg. 1979;64:295.
Harrison DH, Morgan BDH. The instep island flap to resurface plantar defects. Br J Plast Surg. 1981;34:315.
Morrison WA, Crabb DM, O’Brien BM, Jenkins A. The instep of the foot as a fasciocutaneous island and as a free flap for heel defects. Plast Reconstr Surg. 1983;72:56.
Duman H, Er E, IÅŸÃk S, Türegün M, Deveci M, NiÅŸancà M, Sengezer M. Versatility of the medial plantar flap: our clinical experience. Plast Reconstr Surg. 2002;109:1007–12.
Erdemir A, Sirimamilla PA, Halloran JP, van den Bogert AJ. Anelaboratedataset characterizing the mechanical response of the foot. J Biomech Eng. 2009;131:094502.
Baker GL, Newton ED, Franklin JD. Fasciocutaneous island flap based on the medial plantar artery—clinical-applications for leg, ankle, and forefoot. Plast Reconstr Surg. 1990;85:47–58.
Macchi V, Tiengo C, Porzionato A, Stecco C, Parenti A, Mazzoleni F, et al. Correlation between the course of the medial plantar artery and the morphology of the abductor hallucis muscle. Clin Anat. 2005;18:580–8.
Rodriguez-Vegas M. Medialis Pedis flap in the reconstruction of palmar skin defects of the digits: clarifying the anatomy of the medial plantar artery. Ann Plast Surg. 2014;72:542–52.
Yoon E-S, Kim D-W, Chun D, Dhong E-S, Koo S-H, Park S-H, et al. An anatomic study and clinical application of medial pedis flap in Asians. Ann Plast Surg. 2007;58:517–22.
Zhang G-M, Syed SA, Tsai T-M. Anatomic study of a new axial skin flap based on the cutaneous branch of the medial plantar artery. Microsurgery. 1995;16:144–8.
Koshima I, Narushima M, Mihara M, Nakai I, Akazawa S, Fukuda N, et al. Island medial plantar artery perforator flap for reconstruction of plantar defects. Ann Plast Surg. 2007;59:558–62.
Masquelet AC, Penteado CV, Romana MC, Chevrel JP. The distal anastomoses of the medial plantar artery: surgical aspects. Surg Radiol Anat. 1988;10:247–9.
Song D, Yang X, Wu Z, Li L, Wang T, Zheng H, et al. Anatomic basis and clinical application of the distally based medialis pedis flaps. Surg Radiol Anat. 2016;38:213–21.
Bhandari PS, Sobti C. Reverse flow instep island flap. Plast Reconstr Surg. 1999;103:1986–9.
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Trevatt, A.E.J., Johnson, M.A., Teo, T.C. (2023). The Medial Plantar Flap. In: Nikkhah, D., Rawlins, J., Pafitanis, G. (eds) Core Techniques in Flap Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-031-07678-7_45
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DOI: https://doi.org/10.1007/978-3-031-07678-7_45
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