Annals of Plastic Surgery

Skip Navigation LinksHome > May 2014 - Volume 72 - Issue 5 > Medialis Pedis Flap in the Reconstruction of Palmar Skin Def...
Annals of Plastic Surgery:
doi: 10.1097/SAP.0b013e318268a901
Hand Surgery

Medialis Pedis Flap in the Reconstruction of Palmar Skin Defects of the Digits: Clarifying the Anatomy of the Medial Plantar Artery

Rodriguez-Vegas, Manuel MD

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Abstract: Because of its outstanding texture, bulkiness, pliability and sensory recovery, the medialis pedis is an excellent alternative in the reconstruction of complex volar skin defects of the digits in selected patients. However, the surgical flap anatomy related with the medial plantar artery is still somewhat confusing to the point that the different journal articles and anatomy textbooks and atlases use different terminology and are, to some extent, misleading and/or incomplete. The authors report a clinical series of 15 medialis pedis free flaps in the reconstruction of skin defects of the fingers and evaluate their indications in free flap reconstruction of the skin defects of the digits. A review is made of the most relevant journal articles, anatomy textbooks, and atlases that describe the anatomy of the medial plantar artery with a special emphasis on the cutaneous branches that nourish the medialis pedis flap.

© 2014 by Lippincott Williams & Wilkins


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