Abstract
Resurfacing the distal part of the foot is still difficult. Distally based fascio-cutaneous first web flap has a sufficient arc of rotation to reach the toes. This flap is reverse-flow vascularised by the distal communicating artery, which is the distal connection between the plantar and the dorsal first metatarsal arteries. The authors describe its application for the coverage of a dorsal defect of the great toe.
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