Distally-based osteocutaneous dorsal metatarsal artery flap for hallux reconstruction

Dusseldorp, Joseph R.; Allan, James M.; Leeden, Madelyn H. Van Der; Phoon, Alex F.

doi:10.1016/j.bjps.2014.04.013

Cited by 5 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For small wounds of the forefoot, local graft options focusing on restoring blood flow have been described, especially involving the dorsal metatarsal artery flap. 2,4,9 Dusseldorp et al described a method of resecting a portion from the proximal second metatarsal head and fixating it to the proximal first phalanx, demonstrating that the dorsal metatarsal arteries and the plantar dorsal communicating arteries are a viable option for reconstruction. 9 The current literature also describes other options for bone and soft tissue reconstruction for the metatarsals, such as parascapular flaps, iliac flaps, and second metatarsal transfers.…”

Section: Discussionmentioning

confidence: 99%

Utilization of the Free Fibular Flap for First Metatarsal Reconstruction

Gupta

Pfennig

Gannon

et al. 2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary: Beyond being aesthetically unpleasing, metatarsal defects have been known to lead to several patient concerns such as intermetatarsal malpositioning and metatarsalgia. There are several reconstructive techniques that have been utilized for reconstruction of bony defects in the foot, including the free dorsal toe flap and dorsal metatarsal perforator flap. Our institution has utilized the free fibular flap for surgical management pertaining to tarsal reconstruction. Our study looks to evaluate the work of a single plastic surgeon and identify patient postoperative outcomes. A retrospective chart review was conducted at Beaumont Health System, Royal Oak for patients who underwent first metatarsal reconstruction with a free fibular flap between the years 2015 and 2022. Demographic data, operative details, complications, medical comorbidities, and patient outcomes were retrospectively gathered and analyzed. A total of two patients were isolated after chart review. Both patients were found to have tolerated the procedure well and had no intraoperative complications. In addition, all patients had clinically viable flaps and were satisfied with their surgical results. The free fibular flap may be used effectively in the management of metatarsal defects that have failed prior therapy. In our study, both patients who underwent surgical management with a free fibular flap were noted to have successful long-term results. With the right expertise and patient population, a free fibular flap can be highly successful in the repair of metatarsal defects.

show abstract

Section: Discussionmentioning

confidence: 99%

Utilization of the Free Fibular Flap for First Metatarsal Reconstruction

Gupta

Pfennig

Gannon

et al. 2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…The anterior tibial artery is the main arterial supply of the dorsum of the foot and terminates as the dorsalis pedis artery at the level of the first intermetatarsal space. The dorsalis pedis artery branches off to the first dorsal metatarsal artery, arcuate artery (which gives off 2 to 4 metatarsal arteries), and lateral and medial tarsal artery (7,8). The first dorsal metatarsal artery (FDMA) runs above the first intermetatarsal space inside of the first dorsal interosseous muscle.…”

mentioning

confidence: 99%

Reversed First Dorsal Metatarsal Artery Island Flap for First Ray Defects

Özkaya

Yasak

Üsçetin

et al. 2018

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

Reconstruction of the first ray is challenging because of poor skin laxity, bone and tendon exposure, and limited local flap options. Repair using full- or split-thickness skin grafts is generally not an option because of the bone and tendon exposure. Reconstructive options using local flaps from the distal foot area are restricted owing to insufficient soft tissue. Many reconstructive options have been described to overcome these difficult situations. We present 2 cases in which the great toe and first ray defect were repaired using a reversed first dorsal metatarsal artery island flap. The findings from these clinical cases and anatomic studies have shown that the reversed first dorsal metatarsal artery island flap is an alternative and suitable option for reconstruction of soft tissue defect of the distal foot, especially first and second ray defects, because it is thin and simple, has anatomic characteristics similar to those at the recipient site, and results in minimal donor site morbidity.

show abstract

Strategies for Reconstruction of the Plantar Surface of the Foot: A Systematic Review of the Literature

Crowe

Cho

Kneib

et al. 2019

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Background: Reconstruction of the plantar surface of the foot is challenging because of its distinctive anatomy and microarchitecture. Unfortunately, no single coverage option meets the needs of all patients and defects. A comprehensive literature review is presented to better define available reconstructive options for resurfacing the plantar foot. Methods: A systematic literature search was performed to identify articles relating to reconstruction of the plantar skin and soft tissue. The PubMed, Embase, and Scopus databases were queried for published articles. After the exclusion of duplicate records, 1624 articles were available for review. A total of 280 unique articles were included for analysis, with a total of 2684 individual reconstructions. Results: Of the articles reviewed, 10 percent described a skin grafting technique, 53 percent described a locoregional flap, 32 percent described free tissue transfer, and 5 percent described multiple reconstructive methods. Isolated heel defects were the most frequently reconstructed subunit of the plantar foot (73 percent). The latissimus dorsi muscle was the most commonly used free flap, whereas the reverse sural artery flap was the most commonly used locoregional flap. Protective sensation was noted in most locoregional and free flap reconstructions, regardless of primary neurotization; however, improved two-point discrimination was noted when neurofasciocutaneous flaps were used. Complication rates varied widely, although rates of flap loss approached those of flaps performed at other anatomical sites. Conclusions: Numerous methods exist for reconstructing the plantar surface. Proper flap selection should be determined by the size of the defect, the availability of donor tissue, and the surgeon’s experience and comfort with the reconstructive technique.

show abstract

Distally-based osteocutaneous dorsal metatarsal artery flap for hallux reconstruction

Cited by 5 publications

References 12 publications

Utilization of the Free Fibular Flap for First Metatarsal Reconstruction

Utilization of the Free Fibular Flap for First Metatarsal Reconstruction

Reversed First Dorsal Metatarsal Artery Island Flap for First Ray Defects

Strategies for Reconstruction of the Plantar Surface of the Foot: A Systematic Review of the Literature

Contact Info

Product

Resources

About