[The clinical application of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps].
OBJECTIVE
To explore the clinical effect of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps.


METHODS
12 cases with soft tissue defects of forefeet were treated by plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps. The flap size ranged from 3.0 cm x 3.5 cm to 5.5 cm x 8.5 cm.


RESULTS
All flaps survived completely. The patients were followed up for 6 - 24 months. The texture and flexibility of the flaps were normal with no ulcer. The sensation improved with the two-point discrimination of 7 - 10 mm. The cosmetic and functional results were satisfactory. The wounds at donor site healed primarily.


CONCLUSIONS
The flaps have expanded size for large defects with good flexibility, thickness and texture. It is easily performed with less morbidity to main artery.
Department of Orthopedics, Dagang Hospital, Tianjin 300270, China.
Li-Qun
LQ
Cui
Jin-Gang
JG
Chen
Ming
M
Zhang
Wan-Chao
WC
Zhao
Rui
R
Ma
D000328:Adult; D005260:Female; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation*; D016909:Tibial Arteries / Q000601:surgery; D055815:Young Adult