Reverse First Dorsal Metatarsal Artery Flap for Reconstruction of the Distal Foot

Hayashi, Akiteru; Maruyama, Yu

doi:10.1097/00000637-199308000-00005

Cited by 53 publications

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“…23 The reverse FDMA flap was first described by Hayashi and Maruyama in 1993. 24 Since then, this flap has been used to repair soft-tissue defects of the great toe and proved to be practical and reliable. 20,21 The pedicle base, which is FDMA and can be extended to the territory of the dorsalis pedis artery, is the same as great toe pulp flap.…”

Section: Discussionmentioning

confidence: 99%

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Digital reconstruction and donor site resurfacing: A two‐flap technique

et al. 2007

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Use of a great toe pulp flap is one of the methods to repair partial soft-tissue defect of the thumb or other digits. However, the conventional application of free skin grafts to close the donor site may bring donor-site morbidity. The authors present a two-flap technique that a reverse first dorsal metatarsal artery (FDMA) flap resurfaces the defect of the free great toe pulp flap. Six patients with soft-tissue defects of the thumbs or fingers were treated with this technique. Both the pulp and reverse flaps survived uneventfully after reconstruction of the thumbs and fingers. The reverse flap to resurface the donor site on the great toe was sensate and durable. Satisfactory appearance and function were gained in all patients. Results revealed that this technique can be accepted as an alternative method when treating soft tissue defect of the thumb or finger.

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Section: Discussionmentioning

confidence: 99%

“…The flap is fed mainly by the branches from the FDMA at its origin. 11,21,24 The FDMA has many wellknown variations and degrees of dominance.…”

Section: Discussionmentioning

confidence: 99%

Digital reconstruction and donor site resurfacing: A two‐flap technique

et al. 2007

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“…9,10 There are significant anatomic variations of the FDMA. [11][12][13] Proper evaluation of the vessel's blood flow will help to determine the surgical approach and predict the outcome. The evaluation of the blood vessels before surgery is traditionally performed either with palpation or with Doppler rheometry.…”

Section: Discussionmentioning

confidence: 99%

Sonography of the first dorsal metatarsal artery of the foot

Zhu

2005

J of Clinical Ultrasound

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“…As described by Hayashi et al [5], Earley et al [1], and Sakai [15], we also describe a similar way to solve this problem. In contrast to their procedure usually only the subcutaneous tissue of the tarsometatarsal region is dissected.…”

Section: Discussionmentioning

confidence: 99%

“…Among them can be found the deepithelialized "turn over" axial pattern flaps [16] or the instep flap [11] with a great variety of applications in the region proximal to the metatarsal region. Only few publications deal with reconstructive problems in the distal part of the foot, especially the toes [1,5,12,15]. Minor defects distal to the metatarsal present a considerable reconstructive challenge, The distally based subcutaneous tarsometatarsal flap has proved to be a good choice in some of these cases.…”

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confidence: 99%

The distally based subcutaneous tarsometatarsal flap

Wechselberger

Schwabeggerl

Papp³

et al. 1995

Eur J Plast Surg

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European ][~hl~ ~Q X na'o' lflflS[lC bu¢ cryAbstract. Injuries to the distal part of the foot, or even the toes, can still provide reconstructive problems. It is not always wise to amputate the damaged, distal part of the foot. Some surgeons have stated that reconstruction of the distal foot is not necessary, but it is our opinion that it has a similar priority to reconstruction of the hand. While large defects are mostly reconstructed by free flaps, minor defects should also be considered for reconstruction. As in a previous paper, "Small toe muscles for defect coverage" [12], we are presenting a new way to reconstruct damaged tissue distal to the tarsometatarsal region.Key words: Subcutaneous -Tarsometatarsal flap -Distally based form and the base of the second metatarsal. It ends with a branch to the plantar region called the perforating branch which passes through the space between the first and second metatarsal [8]. In the proximal half of the artery, there are fine branches which pass through the exThere are many well known and established possibilities for the treatment of defects in the middle of the foot, or heel [2, 4, 6, 10, 11, 13-16]. Among them can be found the deepithelialized "turn over" axial pattern flaps [16] or the instep flap [11] with a great variety of applications in the region proximal to the metatarsal region. Only few publications deal with reconstructive problems in the distal part of the foot, especially the toes [1,5,12,15]. Minor defects distal to the metatarsal present a considerable reconstructive challenge, The distally based subcutaneous tarsometatarsal flap has proved to be a good choice in some of these cases. The experience with reconstruction in this difficult region is presented. AnatomyThe dorsalis pedis artery is a continuation of the anterior tibial artery. It runs over the talus, navicular, second cuneiform, and along the groove between the first cuneiCorrespondence to: G. Wechselberger I .4-4/(/ Fig. 1. The flap is elevated Fig. 2. Distally based pedicle flap (l), dorsalis pedis artery (2), first dorsal metatarsal artery (3), nutrient branches (4), extensor hallcis longus tendon (5), extensor hallucis brevis tendon (6)

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Reverse First Dorsal Metatarsal Artery Flap for Reconstruction of the Distal Foot

Cited by 53 publications

References 0 publications

Digital reconstruction and donor site resurfacing: A two‐flap technique

Digital reconstruction and donor site resurfacing: A two‐flap technique

Sonography of the first dorsal metatarsal artery of the foot

The distally based subcutaneous tarsometatarsal flap

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