Intérêt du lambeau plantaire médial dans la réparation des pertes de substance du quart distal de la jambe

Abstract

Soft tissue repair of the distal leg is a challenge for the surgeon. The objective of our work is to evaluate the interest of medial plantar flaps in the repair of soft tissue loss in the distal quarter of the leg, by highlighting the advantages and disadvantages of this technique. We conducted a retrospective study over 4years in the Department of Plastic, Reconstructive and Burn Surgery of the Mohammed V Military Teaching Hospital of Rabat, including 8patients admitted for coverage of a distal quarter of the leg with a medial plantar flap. Eight patients were included, 5men and 3women with an average age of 45.5years. All patients received coverage with a medial plantar flap. The functional and aesthetic results were very good with a low complication rate. The medial plantar flap should no longer be reserved for covering loss of substance of the foot only, but should be integrated into the therapeutic arsenal of reconstruction of the distal quarter of the leg.