The use of a free medialis pedis flap for resurfacing skin defects of the hand and digits: results in five cases.
A free medialis pedis flap was used to repair skin defects of the fingers and hand in five patients, the flap sizes ranging from 2 x 3 cm to 5 x 10 cm. Four flaps survived completely, but the largest flap turned necrotic along the dorsal margin, which is thought to have resulted from an incorrect flap alignment. A free medialis pedis flap possesses several advantages: (1) It is very thin in comparison with other standard free flaps; (2) it can be used for small repairs, unlike many conventional free flaps; (3) it possesses two draining venous pathways, the vena comitans and the subcutaneous veins; (4) the diameters of its vessels are similar to those of the fingers; (5) it provides a good color and texture match for finger repairs; and (6) a good recovery of protective sensation is achievable, probably due to its thinness. However, this flap also has some disadvantages: A skin graft is usually required for donor-site closure, and it cannot be used as a sensory flap.
Ishikura
N
N
Department of Plastic and Reconstructive Surgery, Kanazawa Medical University, Ishikawa, Japan.
Heshiki
T
T
Tsukada
S
S
D000328:Adult; D000368:Aged; D002056:Burns / Q000473:pathology / Q000601:surgery; D005260:Female; D005385:Fingers / Q000473:pathology / Q000601:surgery*; D005528:Foot; D006225:Hand / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009132:Muscles / Q000637:transplantation*; D012871:Skin Diseases / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation