[The medialis pedis flap based on the medial fasciocutaneous branches of the dorsal pedal artery].

OBJECTIVE

This is to report the design and application of the medialis pedis flap.

METHODS

Based on the medial fasciocutaneous branches of the dorsal pedal artery, a medialis pedis flap can be raised. The flap had been used in 18 patients with soft tissue defects of the dorsum pedis, ankle region, lower leg or hand.

RESULTS

The anatomic observation of the blood supply to the medial region of the foot showed that a constant distribution of fasciocutaneous branches issued from the dorsal pedal artery was an important blood supply to this area. All flaps used in the 18 patients survived completely with satisfactory results and minimal morbidity at the donor site.

CONCLUSION

We believe that the medial fasciocutaneous branches of the dorsal pedal artery are the reliable pedicle of the medialis pedis flap. The flap is useful for reconstruction of the soft tissue defects around the foot, ankle, lower leg or hand.