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Abstract
A distally based dorsalis pedis island flap is described which has been successfully used for reconstructing the distal portion of the foot in two patients with amputation of all 5 toes.
The indication for this flap is a wide skin defect of the distal half of the dorsal foot without history of local vascular disorder.
The arterial inflow of the flap comes from the posterior tibial artery via the deep plantar branch of the dorsalis pedis artery, while the venous drainage is most likely to be through the venae comitantes of the dorsalis pedis artery to those of the deep branch.
Reference
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- Utilization of various flaps from the dorsum of the foot.Japanese Journal of Plastic and Reconstructive Surgery. 1982; 25: 391
- Distally based abductor digiti minimi muscle flap.Annals of Plastic Surgery. 1985; 14: 375
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Copyright
© 1987 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.