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The dorsalis pedis myofascial flap
1Department of Plastic Surgery, Cairo University Hospital, Egypt.
Plastic and Reconstructive Surgery
|September 1, 1990
Summary
This study presents a modified dorsalis pedis artery island flap using deep fascia and extensor digitorum brevis muscle. The technique minimizes donor site morbidity, achieving successful flap survival in four cases.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- The dorsalis pedis artery island flap is a valuable reconstructive tool.
- Donor site morbidity can be a concern with traditional flap techniques.
- Minimizing donor site complications is crucial for patient outcomes.
Observation:
- A modification utilizing the deep fascia of the foot's dorsum and the extensor digitorum brevis muscle was developed.
- This fascial or myofascial flap is supplied by the dorsalis pedis artery.
- The flap is covered with a split-thickness skin graft.
Findings:
- Four cases demonstrated successful flap survival.
- The modified technique significantly reduced donor site morbidity, allowing direct suture closure without skin grafting.
- The mean follow-up period was 17 months, indicating sustained viability.
Implications:
- This modified dorsalis pedis artery island flap offers a promising alternative for reducing donor site complications.
- The technique enhances patient safety and satisfaction in reconstructive procedures.
- Further studies may validate this approach in a larger patient cohort.