Combined Medial Plantar and Medialis Pedis Chimeric Flap for Sole Reconstruction

Journal of the Korean Society for Surgery of the Hand 2000;9(2):110-113.
Published online November 30, 2000.

Sug Won Kim, M.D., Wan Kee Min, M.D., Joon Pio Hong, M.D., and Yoon Kyu Chung, M.D.

복합 내측 족저부 및 내측 족부 피판을 이용한 광범위 족저부 결손의 재건

김석원·민완기·홍준표·정윤규

Abstract

  The reconstruction of soft tissue defects of the sole requires to stand the force of weight bearing, provide sensation and adequacy for normal foot-wear. Although certain local flaps have been described and used for resurfacing the foot, extensive injury requires distant or free flaps for coverage. There is no doubt that the ideal tissue for resurfacing the sole is the plantar tissue itself. The specialized dermal-epidermal histology and fibrous septa of the subcutaneous layer gives its unique property to stand the pressure and to absorb the shock upon gait. This paper presents a case of reconstructing the sole that involves about 70% of the weight bearing portion. The combined medial plantar and dorsalis pedis chimeric free flap based on the medial plantar artery and medial plantar nerve adds another dimension in resurfacing the weight bearing sole of moderate to large sized defects.

Key Words: Sole reconstruction, Combined flap