Abstract

PROUSSKAIA PEREGUDOVA, E.; GABILONDO ZUBIZARRETA, F.J.  and  SALVADOR SANZ, J.F.. Foot perforator flaps: problems and possible solutions. Cir. plást. iberolatinoam. [online]. 2010, vol.36, n.2, pp.89-96. ISSN 1989-2055.

Traditional medial plantar flap is widely described in the literature, but foot perforator flap is a relatively new subject which still needs more detailed anatomical investigation. We need to amplify our knowledge about this surgically challenging region, dissection difficulties and possible solutions. We performed anatomical dissection on 10 cadaver feet with dyed latex intravascular injection and then dissected out the perforators arising from the medial plantar artery. We measured the origin of the dominant perforators in relationship to 3 reference points, diameter and length of each perforator. We analyzed the application of flaps based on these perforators as local and free flaps in relation to pedicle length and diameter, flap thickness and donor site morbidity. Foot perforator flaps are a good option for local and distant reconstruction. Donor site morbidity is low and functional result is good due to tissue characteristics of the foot region when used for hand reconstruction.

Keywords : Foot perforators; Foot flaps; Medial plantar artery.

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