title: The rotational advancement of medial plantar flap for coverage of foot defect: a case report.
abstract: This case describes the use of the medial plantar artery flap used to cover a lateral foot wound in a 19-year-old male with a history of spina bifida. The original operative plan was for coverage with a medial plantar flap based distally on retrograde flow through the lateral plantar artery; however, this had to be revised intraoperatively as his vascular anatomy was not adequate to support a flap of this type. Thus, advancement with rotation modification of the conventional medial plantar flap was performed with good results. At 2-month follow-up, the patient's flap had fully healed, he returned to full weight-bearing status, and he had gross sensation in the sole of his foot. This case illustrates the use of the well-described medial plantar flap by rotating and advancing the flap for reconstruction of defects of the foot.
authors.affiliation: Section of Plastic Surgery, Department of Surgery, University of Oklahoma, Oklahoma City, OK 73104, USA.
authors.forename: Omar E
authors.initials: OE
authors.lastname: Beidas
authors.forename: Benny K
authors.initials: BK
authors.lastname: Tan
authors.forename: J Dayne
authors.initials: JD
authors.lastname: Petersen
mesh_terms: D005528:Foot / Q000601:surgery*; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult