Free medial plantar flap for reconstruction of plantar defects

Abstract

Objective To investigate the application of free medial plantar flap for reconstruction of plantar defects, so as to restore cosmetic and functional sole. Methods 19 Patients(16 males and 3 females) with soft tissue defects at the plantar feet, aged from 6 to 53 years old, were treated in our department, including 5 forefoot defects and 14 heel defects. Free medial plantar flaps at the contraside were used to repair the defects. The size of the flap ranged from 4 cm×5 cm to 6.5 cm×12 cm. Results All the flaps and skin grafts survived without complications. Nine patients underwent follow-up for 3 to 12 months, the contour and walking function were satisfactory with no ulcers. Conclusions Free medial plantar flap for reconstruction of plantar defect provides a long-term favorable functional and aesthetic outcome, indicating its' feasibility and efficiency for weight-bearing plantar foot reconstruction. Key words: Surgical flap; Free skin flap; Foot