[Replacement of skin defects on the foot with dorsal foot artery pedicle island flap (author's transl)].

On the basis of four known cases, authors describe the art. dors. pedis pedicle island flap method (McCraw, Furlow) for replacement of skin defects on the foot. The pedicle of the flap is composed of the art dors. pedis, the vena comitans and the peroneal nerve. The flap is suitable for replacement of skin defects around the external or internal malleolus, on the margin of the sole and heal, over the tendon Achilles as well as on the anterior surface of the lower third leg. Vascular anatomy of the island is described and details of the technics for the formation of island are given. Beside the good vascular supply the importance of innervation is emphasized.