title: Combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle for reconstruction of complex soft tissue defects in the hand.
abstract: The reconstruction of complex soft tissue defects in hands remains a difficult challenge in reconstructive surgery. In this report, we introduce a combined medialis pedis and medial plantar fasciocutaneous flaps supplied by the lateral and medial branches of the medial plantar artery, which allows a one-stage reconstruction of multiple soft tissue defects in hand. Three combined medialis pedis and medial plantar fasciocutaneous flaps were transferred for repair of the soft tissue defects including palmar and dorsal areas of hand, thumb pulp, and the dorsum of index finger in three patients. All three flaps survived uneventfully with coverage matching the texture and color of the recipients. The donor sites healed without complication. The experience from these cases proves that the combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle would be a valuable alternative for the reconstruction of complex soft tissue defects in the hand.
authors.affiliation: Department of Orthopedic Surgery, Shanghai Sixth People's Hospital, JiaoTong University, Shanghai, China.
authors.forename: Yi-Min
authors.initials: YM
authors.lastname: Chai
authors.forename: Chun-Yang
authors.initials: CY
authors.lastname: Wang
authors.forename: Gen
authors.initials: G
authors.lastname: Wen
authors.forename: Bing-Fang
authors.initials: BF
authors.lastname: Zeng
authors.forename: Pei-Hua
authors.initials: PH
authors.lastname: Cai
authors.forename: Pei
authors.initials: P
authors.lastname: Han
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D018608:Ultrasonography, Doppler; D014654:Vascular Patency