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Coverage of defects over toes with distally based local flaps: A report of four cases

Introduction

Distal foot reconstruction, especially of wounds over the toes, has always been a challenging problem in plastic surgery. The various reconstruction methods available are skin graft, random pattern flap; cross-leg flap and free flaps but all these methods have their own advantages and limitations. Skin grafts cannot be used on bare bone or tendons. Other flaps may be bulky, unreliable and may need uncomfortable patient positioning or microsurgical techniques. Reverse Dorsalis pedis flaps are usually based on the deep plantar branch of the dorsalis pedis artery (DPA) [1] or on the distal communication between the first dorsal metatarsal system and the plantar system. [2] When ...

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