The cross-foot flap

Reconstruction for losses of the highly specialized skin on the weight-bearing and friction-resistant areas of the foot remains a challenge to the ingenuity of reconstructive surgeons. Although the use of skin from a plantar non-weight-bearing area was described by Mir y Mir 20 years ago, no other reports using the method and emphasizing its advantages have appeared in the literature. On the basis of two cases, both being failures after the use of other methods, we commend the use of a cross-instep flap.