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Its blood supply is from the septocutaneous perforators of the dorsalis pedis artery and first dorsal metatarsal artery. Its pedicle length is 6-10 cm, and its diameter is 2-three mm. This flap can be used for defects across the ankle, foot, and lower leg, and it is often used as a free flap. The medial plantar artery flap is a sort B fasciocutaneous flap located on the instep of the foot and primarily based on the medial plantar artery. The pedicle is 12 cm lengthy and has a diameter of 1.5 mm.
Use this flap for protection of plantar foot and ankle defects. Fasciocutaneous flaps are topic to some of the identical complications as any skin flap. Basically, the flap design is essential. Any technical error in flap design or harvest could cause both partial or complete flap ischemia or necrosis. Failure of the flap sometimes will be difficult to watch. Infections also can occur, notably since fascia is less resistant to infection than muscle.
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