Abstract
Soft tissue defects over the distal one-third of the dorsal foot continue to present challenges to the surgeon. Various forms of coverage, including local rotation flaps, muscle flaps, and fascial and free flaps, have their specific indications and inherent disadvantages. The distally based extensor digitorum brevis muscle flap has the advantages of long arc of rotation, small and thin muscle belly, consistent and reliable blood supply, and minimal donor site morbidity. When the extensor digitorum brevis is used as reverse-flow flap, its entire muscle belly can be used for covering small defect in the distal one-third of the dorsal foot. We have used this flap successfully in one-stage reconstruction in two patients, and resulted in stable soft tissue coverage.
Published Version
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