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Microsurgery. 2012 May;32(4):322-5. doi: 10.1002/micr.21956. Epub 2012 Mar 31.

The rotational advancement of medial plantar flap for coverage of foot defect: a case report.

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Section of Plastic Surgery, Department of Surgery, University of Oklahoma, Oklahoma City, OK 73104, USA.


This case describes the use of the medial plantar artery flap used to cover a lateral foot wound in a 19-year-old male with a history of spina bifida. The original operative plan was for coverage with a medial plantar flap based distally on retrograde flow through the lateral plantar artery; however, this had to be revised intraoperatively as his vascular anatomy was not adequate to support a flap of this type. Thus, advancement with rotation modification of the conventional medial plantar flap was performed with good results. At 2-month follow-up, the patient's flap had fully healed, he returned to full weight-bearing status, and he had gross sensation in the sole of his foot. This case illustrates the use of the well-described medial plantar flap by rotating and advancing the flap for reconstruction of defects of the foot.

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