Medial Plantar Artery Perforator Flap Cover in Large Diabetic Foot Ulcer

Reconstructing the heel's soft tissue is challenging due to its weight-bearing role and the unique properties of the skin on the sole.The medial plantar artery perforator (MPAP) flap is a well-established option for these defects, providing tissue similar in structure to the plantar foot.This report describes a case of successful reconstruction of a heel defect in a diabetic woman using an MPAP flap.This case highlights the effectiveness of the MPAP flap for medium to large-sized plantar defects with weight bearing, offering benefits such as excellent tissue match, minimal donor site complications, and consistent vascular anatomy.