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Related Experiment Videos

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
PubMed
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.

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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.

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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.