Sensate sole-to-sole reconstruction using the combined medial plantar and medialis pedis free flap.
The coverage of soft-tissue defects of the sole needs special consideration because of the forces of weight bearing on the reconstruction. A variety of free tissue transfers have been advocated for soft-tissue replacement of the weight-bearing portions. However, there is no doubt that the ideal tissue for resurfacing the sole is the plantar tissue itself. The authors present a case of reconstructing the sole with the combined medial plantar and medialis pedis free flap that involves approximately 70% of the weight-bearing portion. This contralateral, combined fasciocutaneous free flap based on the posterior tibial-medial plantar vascular system is a good alternative in covering extensive sole injuries.
Kim
S W
SW
Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine, Wonju Christian Hospital, Korea.
Hong
J P
JP
Chung
Y K
YK
Tark
K C
KC
D000293:Adolescent; D002056:Burns / Q000150:complications / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D005260:Female; D018409:Foot Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps