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Its blood supply is from the septocutaneous perforators of the dorsalis pedis artery and first dorsal metatarsal artery. Its pedicle size is 6-10 cm, and its diameter is 2-3 mm. This flap can be used for defects around the ankle, foot, and lower leg, and it is often used as a free flap. The medial plantar artery flap is a kind B fasciocutaneous flap located on the instep of the foot and primarily based on the medial plantar artery. The pedicle is 12 cm long and has a diameter of 1.5 mm. Use this flap for coverage of plantar foot and ankle defects. Fasciocutaneous flaps are subject to some of the identical complications as any skin flap. On the whole, the flap design is essential. Any technical error in flap design or harvest can cause both partial or full flap ischemia or necrosis. Failure of the flap sometimes might be tough to monitor. Infections can also occur, significantly since fascia is much less resistant to infection than muscle. Donor site morbidity can be significant, especially with bigger flaps.
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