Related Experiment Video
Updated: Aug 9, 2026
08:18
Engineered Vascularized Muscle Flap
Published on: January 11, 2016
Distal foot coverage with a reverse dorsalis pedis flap
A A Smith1, J A Arons, R Reyes
1Division of Plastic Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH 44109-1998, USA.
Annals of Plastic Surgery
|February 1, 1995
Summary
A reverse dorsalis pedis flap successfully reconstructed small distal forefoot defects. This technique preserves ankle motion and sensation, offering a viable surgical alternative for foot reconstruction.
Area of Science:
- Plastic Surgery
- Orthopedic Surgery
- Reconstructive Microsurgery
Background:
- Distal forefoot defects present a reconstructive challenge due to limited soft tissue availability.
- Traditional flap methods may compromise foot function or donor site integrity.
Observation:
- A reverse dorsalis pedis flap, utilizing the proximal communicating branch of the dorsalis pedis artery, was employed.
- The flap's skin paddle was transversely oriented across the ankle crease for direct donor site closure.
Findings:
- Successful closure of distal forefoot defects in two patients was achieved.
- Both patients retained full active ankle mobility and sensation (light touch and pinprick).
- No dorsal foot tendon bowstringing or need for specialized footwear was reported.
Implications:
- This flap technique provides a valuable alternative for reconstructing small soft-tissue defects in the distal foot.
- It offers functional and sensory preservation, improving patient outcomes.
- Further studies could explore its application in a broader range of foot and ankle injuries.
Related Concept Videos
01:11Pulse Assessment Sites
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
01:31Diabetic Foot Ulcer
Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...