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Surgical and Radiologic Anatomy
Erschienen in: Surgical and Radiologic Anatomy 2/2016

01.03.2016 | Original Article

Anatomic basis and clinical application of the distally based medialis pedis flaps

verfasst von: Dajiang Song, Xiaodong Yang, Zedong Wu, Lei Li, Tianquan Wang, Heping Zheng, Chunlin Hou

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 2/2016

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Abstract

Background

Soft-tissue defects of the forefoot are difficult to cover adequately, particularly, although multiple options for reconstruction are available. This study especially focused on the vascularization of the medial side of the foot and the determination of the contribution of the nutrient vessels to medialis pedis flap viability.

Methods

Thirty cadavers were available for this anatomical study. Microdissection was conducted under a microscope, and details of the course and distribution and the communication of the first plantar metatarsal artery with the fascial vascular network of the medial side of the foot were recorded. Clinically, six cases of soft-tissue defects at the forefoot region were reconstructed with distally based medialis pedis flap.

Results

The perforator of the first plantar metatarsal artery pierces in the superficial fascia of the medial aspect of the foot 2.2 ± 0.7 cm proximal to the first metatarsophalangeal joint, vascularize the skin of the medial plantar region. The anatomical study showed that the vasculature pattern could roughly be classified into two types. In terms of clinical application, all flaps completely survived, and one patient had partial loss of skin graft.

Conclusion

The perforators of the medialis pedis flap are presented constant. The forefoot region can be repaired by the distally based medialis pedis flap on the perforator of the medial plantar artery of the hallux or the first plantar metatarsal artery perforator with medial plantar vein, medial plantar cutaneous nerve and nutrient vessels.
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Metadaten
Titel
Anatomic basis and clinical application of the distally based medialis pedis flaps
verfasst von
Dajiang Song
Xiaodong Yang
Zedong Wu
Lei Li
Tianquan Wang
Heping Zheng
Chunlin Hou
Publikationsdatum
01.03.2016
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 2/2016
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-015-1532-6

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