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Horn-Shaped Perforator Flaps for Plantar.
Zhuoran Wang1, Xinyi Li2, Xiaojing Li2
1Department of Clinical Medicine, Anhui Medical University, Hefei 230032, China.
Journal of Clinical Medicine
|May 13, 2026
Summary
The horn-shaped perforator flap offers a reliable method for reconstructing plantar defects, achieving high flap survival and excellent functional recovery. This technique provides a viable alternative to skin grafting for foot wound repair.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Orthopedic Surgery
Background:
- Plantar defects present significant reconstructive challenges.
- Traditional methods may involve skin grafting with variable outcomes.
- Perforator flap techniques offer potential for improved reconstruction.
Purpose of the Study:
- To evaluate the efficacy of the horn-shaped perforator flap for plantar defect reconstruction.
- To assess clinical outcomes including flap survival and functional recovery.
- To investigate the method and outcomes of this specific flap technique.
Main Methods:
- Retrospective case series of 40 patients undergoing plantar defect reconstruction.
- Utilized the horn-shaped perforator flap technique.
- Evaluated flap survival, functional recovery (AOFAS score), sensory recovery, and time to weight-bearing.
Main Results:
- Achieved 95% complete flap survival.
- Mean American Orthopaedic Foot and Ankle Society (AOFAS) score was 91.3, with 80% excellent functional recovery.
- 87.1% of patients regained protective sensation, with a mean time to full weight-bearing of 6.4 weeks.
Conclusions:
- The horn-shaped perforator flap is a reliable option for small-to-medium plantar defects.
- It provides homologous glabrous skin, avoiding donor site skin grafting.
- Favorable functional and aesthetic outcomes are associated with its unique design and preservation of perforators.
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