title: Island medial plantar artery perforator flap for reconstruction of plantar defects.
abstract: Three cases in which island medial plantar artery perforator flaps were successfully transferred for coverage of the plantar defects are described. This perforator flap is different from the medial plantar flap based on the medial plantar artery. The flap has no fascial component and is nourished only with the perforator of the medial plantar vessel. Therefore, transection of the medial plantar artery is usually unnecessary. This flap can cover defects on the forefoot and heel without transaction of the medial plantar system. The advantages of this flap are no need for deep or long dissection for the medial plantar vessel, no exposure of the plantar sensory nerve, a short time for flap elevation, minimal donor-site morbidity, relatively large flap survival, and no damage of both the posterior tibial and medial plantar neurovascular systems.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. koushimai-pla@h.u-tokyo.ac.jp
authors.forename: Isao
authors.initials: I
authors.lastname: Koshima
authors.forename: Mitsunaga
authors.initials: M
authors.lastname: Narushima
authors.forename: Mokoto
authors.initials: M
authors.lastname: Mihara
authors.forename: Ikuo
authors.initials: I
authors.lastname: Nakai
authors.forename: Satoshi
authors.initials: S
authors.lastname: Akazawa
authors.forename: Norio
authors.initials: N
authors.lastname: Fukuda
authors.forename: Yorikatsu
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakagawa
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005528:Foot / Q000601:surgery; D005545:Forefoot, Human / Q000601:surgery*; D006365:Heel / Q000601:surgery; D006801:Humans; D007642:Keratosis / Q000601:surgery; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014456:Ulcer / Q000601:surgery