The extended medial plantar artery (EMPA) free flap for plantar foot defects

被引：1
作者：
Kempný T. [1 ,2 ]
Knoz M. [2 ,3 ,4 ]
Lipový B. [2 ,3 ]
机构：
[1] Department of Plastic and Reconstructive Surgery, Klinikum Wels, Grieskirchen
[2] Department of Burns and Reconstructive Surgery, University Hospital Brno, Brno
[3] Medical Faculty, Masaryk University Brno, Brno
[4] Department of Plastic and Aesthetic Surgery, St. Anne’s University Hospital Brno, Brno
来源：
European Journal of Plastic Surgery | 2017年 / 40卷 / 6期
关键词：
Extended medial plantar artery flap; Flap design; Instep flap; Midfoot; Plantar foot defect; Weight-bearing area;
D O I：
10.1007/s00238-017-1324-9
中图分类号：
学科分类号：
摘要：
The medial plantar artery (MPA) flap was first introduced by Mir y Mir in 1954 and used to reconstruct a heel defect. The sole of the foot is designed to bear body weight and absorb the shocks of a bipedal gait. The properties of the plantar skin and deeper tissues are therefore highly specialised, and if normal function is to be restored, it is essential to replace “like with like” which is a fundamental principle of reconstructive surgery. The aim of this article is to introduce the concept of an extended medial plantar artery (EMPA) free flap for plantar foot defects. The advantage of the extended version of the MPA flap in the presented cases is the harvest of a larger bulk of tissue and thus the possibility of covering larger defects in the weight-bearing area of the foot. Level of Evidence: Level V, therapeutic study. © 2017, Springer-Verlag Berlin Heidelberg.
引用
收藏
页码：563 / 568
页数：5
相关论文
共 9 条
  • [1] Mir Y., Mir L., Functional graft of the heel, Plast Reconst Surg, 14, pp. 444-450, (1954)
  • [2] Baker G.L., Newton E.D., Franklin J.D., Fasciocutaneous island flap based on the medial plantar artery: clinical applications for leg, ankle, and forefoot, Plast Reconstr Surg, 85, pp. 47-58, (1990)
  • [3] Masquelet A.C., Romana M.C., The medialis pedis flap: a new fasciocutaneous flap, Plast Reconstr Surg, 85, pp. 765-772, (1990)
  • [4] Morrison W.A., Crabb D.M., O'Brien B.M., Et al., The instep of the foot as a fasciocutaneous island and as a free flap for heel defects, Plast Reconstr Surg, 72, pp. 56-65, (1983)
  • [5] Gir P., Cheng A., Oni G., Mojallal A., Saint-Cyr M., Pedicled-perforator (propeller) flaps in lower extremity defects: a systematic review, J Reconstr Microsurg, 28, (2012)
  • [6] Koshima I., Narushima M., Island medial plantar artery perforator flap for reconstruction of plantar defects, Ann Plast Surg, 59, pp. 558-562, (2007)
  • [7] Attinger C.E., Evans K.K., Bulan E., Blume P., Cooper P., Angiosomes of the foot and ankle and clinical implications for limb salvage: reconstruction, incisions, and revascularization, Plast Reconstr Surg, 117, (2006)
  • [8] Koshima I., Urushibara K., Inagawa K., Hamasaki T., Moriguchi T., Free medial plantar perforator flaps for the resurfacing of finger and foot defects, Plast Reconstr Surg, 107, pp. 1753-1758, (2001)
  • [9] Amr A., Dalley A.F., Grant’s atlas of anatomy, (2009)
1