Plantar Flap for Foot Reconstruction

Abstract

The medial plantar flap is an axial pattern flap from the non–weight-bearing area of the sole of the foot between the heel and the metatarsal heads. The flap can be raised as a pedicle or a free flap, based on either the medial or lateral plantar arteries, or both. Sensory function is provided by branches of the medial plantar nerve. The donor site defect in the foot has caused no difficulty except for occasional marginal hyperkeratosis.