RECONSTRUCTION OF PLANTAR SURFACE OF FOOT USING MEDIAL PLANTAR ARTERY FLAP- A CASE SERIES

Abstract

Background: Reconstruction of weight bearing region of plantar foot defects present a challenge to surgeons because of lack of the options available and requirement of durable tissue. Among the limited options available medial plantar artery ap serve an ideal one. It can be raised in antegrade as well as retrograde fashion. In its anterograde form it is used for heel reconstruction and in retrograde form it is used for the reconstruction of the forefoot defect. The aim of this article is to assess Aim: the outcome of using medial plantar artery ap for reconstruction of heel and forefoot defect with a focus on ap survival, donor site morbidity and functional outcome. In the present study, we Material and method: present our experience with the use of medial plantar artery ap to cover plantar foot defect in the weight bearing region. Total of 12 patients, those underwent medial plantar artery ap re-construction, from January 2018 to January 2022 were included in this study. Out of the 12 patients Result: with the medial plantar artery aps, 10 were male and 2 were female. The indications for surgery were, traumatic tissue loss, unstable scar over previous grafted skin, neuropathic ulcer. All the aps survived, without major complications and provided adequate wound coverage with minimal donor site morbidity. Medial plantar artery ap for reconstruction of heel and forefoot i Conclusion: s associated with a very high ap survival rate with very few ap related complications including donor site complications.