[The reverse medialis pedis flap for coverage of forefoot skin defects].
OBJECTIVE
To study a new method to repair forefoot skin defects.


METHODS
Based on anatomical studies, a reverse medialis pedis flap was designed for coverage of forefoot skin defect. The flap was based on the distal end of the medial plantar artery and had distal anastomosis with the lateral plantar artery and dorsal metatarsal artery.


RESULTS
The flap was used clinically in 6 cases. The size of the flap ranged from 4 x 3 cm to 11 x 9 cm. The pedicle of the flap was 6 to 11 cm. All flaps survived completely. The aesthetic and functional results were satisfactory after 6-24 months follow-up.


CONCLUSIONS
The flap is one of the best choices for repairing of forefoot skin defects.
Chai
Yimin
Y
Department of Microsurgery, Hainan Provincial Hospital, Haikou 570311, China.
Ma
Xinchi
X
Lin
Chongzheng
C
Wang
Kuaisheng
K
Pan
Yunchuan
Y
Chen
Yankun
Y
D000293:Adolescent; D000328:Adult; D005260:Female; D005528:Foot / Q000033:anatomy & histology / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps