Case ReportIsland Medial Plantar Artery Perforator Flap for Reconstruction of Plantar DefectsKoshima, Isao MD; Narushima, Mitsunaga MD; Mihara, Mokoto MD; Nakai, Ikuo MD; Akazawa, Satoshi MD; Fukuda, Norio MD; Watanabe, Yorikatsu MD; Nakagawa, Masahiro MDAuthor Information From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. Received September 16, 2006 and accepted for publication, after revision, December 11, 2006. This work was presented in part at the Fourth International Courses on Perforator Flaps, in Glasgow, Scotland, in September 4, 2000. Reprints: Isao Koshima, MD, Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. E-mail: email@example.com. Annals of Plastic Surgery: November 2007 - Volume 59 - Issue 5 - p 558-562 doi: 10.1097/SAP.0b013e3180315528 Buy Metrics Abstract Three cases in which island medial plantar artery perforator flaps were successfully transferred for coverage of the plantar defects are described. This perforator flap is different from the medial plantar flap based on the medial plantar artery. The flap has no fascial component and is nourished only with the perforator of the medial plantar vessel. Therefore, transection of the medial plantar artery is usually unnecessary. This flap can cover defects on the forefoot and heel without transaction of the medial plantar system. The advantages of this flap are no need for deep or long dissection for the medial plantar vessel, no exposure of the plantar sensory nerve, a short time for flap elevation, minimal donor-site morbidity, relatively large flap survival, and no damage of both the posterior tibial and medial plantar neurovascular systems. © 2007 Lippincott Williams & Wilkins, Inc.