Medial plantar artery flap for reconstruction of heel and foot defects in malignancy- a retrospective analysis

Reconstruction of the soft tissue defects of the heel has been an area of challenge over the years for plastic and reconstructive surgeons. The medial plantar artery flap has helped cover these defects. A retrospective analysis of 41 patients who underwent reconstruction of heel and sole defects at our Institution between January 1, 2007, and December 31, 2018, was done. The mean duration of follow-up was 42.42 months. The flap is based on the medial plantar artery. Forty one patients underwent medial plantar artery flap reconstruction. The lesions were located over the heel in 25 patients or the weight-bearing area of the foot in 16 patients. The size of the defect ranged from 3 × 2 to 10 × 7 cm. None of the patients developed flap loss. Minor wound complications were seen in a minority of patients. All patients had sensate flaps with a return to full weight mobilization between 8 and 10 weeks after surgery. There were no late flap failures. The medial plantar artery flap is robust, and sensate and is a good option for reconstruction of heel and sole defects.