Medial plantar artery flap: a versatile workhorse flap for foot reconstruction, our experience

Soft tissue defect in the foot is commonly seen as it is more prone to trophic ulcers since it is the main weight bearing area of the body. Reconstruction of the weight bearing area of the foot requires the provision of a stable, supple, durable and preferably sensate skin coverage. Following Sir Gilli’s principle of replacing like with like, medial plantar artery flap provides an anatomically similar, glabrous skin for coverage on the plantar surface. In the present study, we share our clinical experience with the use of medial plantar artery flap for coverage of soft tissue defect over sole of foot. At our institution, a total of 10 patients presented with soft tissue defect of the sole, underwent medial plantar artery flap coverage. All the 10 patients were diagnosed cases of type 2 DM. patient outcome was assessed according to patients’ age distribution, duration of surgery, hospital stay, and post operative complications. Out of all the 10 patients, 5 were male and 5 were female. All the flaps healed uneventfully without major complications like partial flap necrosis. Donor site was covered with split thickness skin graft. There was suture site dehience in 2 cases which healed with secondary healing. Medial plantar artery flap has been described as an optimal reconstructive option for this type of soft tissue defect.

5. The role of microvascular free tissue transfer for foot and ankle defects: Results and outcome.

Introduction: The foot and ankle defects include large primary defect following trauma, infection with osteomyelitis and oncologic resection with soft tissue loss. The primary goal of lower limb reconstruction is to prevent amputation and give a durable coverage of defects. Therefore, microvascular free tissue transfer is a useful and an effective method for foot and ankle reconstruction. Materials and method: In the current study, we performed a prospective analysis of patients who underwent lower limb reconstruction at our medical institution during the period of January 2018 to October 2018. In our study we reconstructed defects of dorsum of feet and ankle using radial forearm free flap, latissimus dorsi free flap, anterolateral thigh free flap. These were performed patients age ranging between 20 to 55yrs. All the patients were followed for 6 months. Results: there were 15 patients, 13 males and 2 females, with age ranging between 20 to 55years; we reconstructed defects of dorsum of foot and ankle defects with free flap. Overall survival of flap rate was 93.3% (14/15) Conclusion: Free flap is an ideal option for foot and ankle defects especially in patient with large defects to salvage the limb. It is a better option in case of sole and dorsum of foot defects

06 Use of locoregional Perforator Flaps for reconstruction of lower limb defects: Our experience

<p>23A | 36 | JAN 2021 | IJABMS</p><p>Medical Journal Research Article</p><p>06 Use of locoregional Perforator Flaps for reconstruction of lower limb defects: Our experience</p&gt