scholarly journals “Like For Like” Reconstruction of Heel Pad with Medial Plantar Artery Flap—Functional and Aesthetic Outcomes in A Series of 19 Cases

2021 ◽  
Vol 54 (03) ◽  
pp. 358-361
Author(s):  
Narayanamurthy Sundaramurthy ◽  
Surya Rao Venkata Mahipathi ◽  
Alagar Raja Durairaj ◽  
Anand Prasath Jayachandiran ◽  
Shalini Ranipet Selvaa
Keyword(s):  
Weight Bearing ◽  
Abductor Hallucis ◽  
Fasciocutaneous Flaps ◽  
Diabetic Ulcer ◽  
Patients Satisfaction ◽  
Heel Pad ◽  
Plantar Artery ◽  
Functional Scores ◽  
Abductor Hallucis Muscle ◽  
Medial Plantar Artery

AbstractHeel pad loss can cause serious problems in weight-bearing and locomotion. The medial plantar artery (MPA) flap is a suitable “like for like” replacement. Nineteen patients whose heels were reconstructed with MPA flap between July 2015 and February 2020 were studied. All patients were assessed based on flap survival, functionality, and patient satisfaction. Loss of heel pad was due to diabetic ulcer (11), trauma (6), tumor (1), and unstable scar (1). The largest flap measured 9 × 7 cm. Sixteen flaps were done as fasciocutaneous flaps and three in combination with abductor hallucis muscle (AbdH). All the flaps survived. The average functional scores at 6, 12, 18, and 24 months were 86.86, 89.62, 89.38 and 97.33 based on AOSAS-AH score. Average patients' satisfaction was 8.7/10. To conclude, the MPA system is a versatile vascular axis providing “like for like” tissue for heel pad reconstruction which is reliable and durable.

Correlation between the course of the medial plantar artery and the morphology of the abductor hallucis muscle

2005 ◽  
Vol 18 (8) ◽  
pp. 580-588 ◽  
Author(s):  
Veronica Macchi ◽  
Cesare Tiengo ◽  
Andrea Porzionato ◽  
Carla Stecco ◽  
Anna Parenti ◽  
...  
Keyword(s):  
Abductor Hallucis ◽  
Plantar Artery ◽  
Abductor Hallucis Muscle ◽  
Medial Plantar Artery

Medial Plantar Artery Flap for Wound Coverage of the Weight-Bearing Surface of the Heel

2020 ◽  
Vol 37 (4) ◽  
pp. 751-764
Author(s):  
Michael D. Liette ◽  
Mohamed A. Ellabban ◽  
Pedro Rodriguez ◽  
Christopher Bibbo ◽  
Suhail Masadeh
Keyword(s):  
Weight Bearing ◽  
Bearing Surface ◽  
Wound Coverage ◽  
Plantar Artery ◽  
Medial Plantar Artery

scholarly journals Topographic-anatomical characteristics of artery tibialis posterior and its branches in the area of ankle canal

2021 ◽  
Vol 9 (3) ◽  
pp. 493-500
Author(s):  
R.E. Kalinin ◽  
◽  
I.A. Suchkov ◽  
E.A. Klimentova ◽  
I.N. Shanaev ◽  
...  
Keyword(s):  
Lower Limb ◽  
Ultrasound Examination ◽  
Vascular System ◽  
Lower Limbs ◽  
Tibialis Posterior ◽  
Medial Malleolus ◽  
Posterior Edge ◽  
Abductor Hallucis ◽  
Plantar Artery ◽  
Medial Plantar Artery

AIM: To clarify peculiarities of the anatomy and topography of the plantar vessels in the area of the ankle canal, to justify access to the bifurcation of the artery tibialis posterior and ultrasound examination of the plantar arteries. The results of anatomical preparations of 10 amputated lower limbs, and of ultrasound duplex angioscanning (DUS) of 30 healthy volunteers without pathology of the vascular system performed using a linear transducer with frequency of 7–12 MHz, were studied. According to the data of anatomical preparation and ultrasound examination, the bifurcation level of the artery tibialis posterior was 1.7 ± 0.4 cm (min 0.5 cm — max 2 cm) below the level of the posterior edge of the medial ankle and was slightly covered by the musculus abductor hallucis. The average diameter of the artery tibialis posterior above the bifurcation level was 2.56 ± 0.4 mm, of the medial plantar artery 1.4±0.44 mm, and of the lateral plantar artery 1.8 ± 0.5 mm. The lateral plantar artery was 90% larger in diameter than the medial plantar artery. In 7% of cases, the medial plantar artery was larger, and in 3% of cases, the diameters of both arteries were equal. When taking the bifurcation of the posterior tibial artery as the central point, the plantar vessels on the DUS can be traced distally down under the abdomen of the musculus abductor hallucis: the medial vessels lie more anteriorly at 2 o’clock position, and the lateral vessels lie somewhat posteriorly at 1 o’clock. Assessment of blood flow at this level gives an idea of the state of the foot vessels. The level of bifurcation of the artery tibialis posterior is located 1.7 ± 0.4 cm below the posterior edge of the medial malleolus, which makes it possible to identify the location of access to it. The location of the DUS probe from this point at 2 o'clock position corresponds to the projection of the medial plantar artery, at 1 o'clock — to the lateral plantar artery on the right lower limb, on the left lower limb — at 10 and 11 o'clock, respectively.

Medial Plantar Artery Island Flap for Heel Reconstruction

2006 ◽  
Vol 57 (6) ◽  
pp. 658-661 ◽  
Author(s):  
Richard J. Schwarz ◽  
Jean-Francois Negrini
Keyword(s):  
Island Flap ◽  
Plantar Artery ◽  
Heel Reconstruction ◽  
Medial Plantar Artery

scholarly journals Hypertrophy of the abductor hallucis muscle: A case report and review of the literature

2017 ◽  
Vol 5 ◽  
pp. 2050313X1772763 ◽  
Author(s):  
Toshinori Kurashige
Keyword(s):  
Rare Case ◽  
Muscle Hypertrophy ◽  
Pathological Condition ◽  
Rare Condition ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Abductor Hallucis ◽  
Medial Plantar Nerve ◽  
Abductor Hallucis Muscle ◽  
Entrapment Syndromes

Objectives: Muscle hypertrophy is a relatively rare condition that may cause nerve entrapment syndromes. We report the case of a 14-year-old girl with unilateral hypertrophy of the abductor hallucis muscle with entrapment of the medial plantar nerve and review the literature. Methods: Computed tomography and magnetic resonance imaging revealed unilateral hypertrophy of the abductor hallucis muscle. Results: Two injections of steroid and lidocaine at the point of tenderness resulted in resolution of the pain. Conclusions: We report a rare case of hypertrophy of the abductor hallucis muscle considered with entrapment of the medial plantar nerve. Treatment of this condition should be selected according to the pathological condition of each patient.

Reverse Distally Based Abductor Hallucis Muscle Flap for Soft Tissue Coverage of the First Metatarsophalangeal Joint Wounds

2017 ◽  
Vol 16 (3) ◽  
pp. 208-211 ◽  
Author(s):  
Edgardo R. Rodriguez-Collazo ◽  
Ryan J. Pereira ◽  
Grace C. Craig
Keyword(s):  
Soft Tissue ◽  
Structural Integrity ◽  
Wound Care ◽  
Muscle Flap ◽  
Metatarsophalangeal Joint ◽  
Soft Tissue Coverage ◽  
Abductor Hallucis ◽  
First Metatarsophalangeal Joint ◽  
Secondary Intention ◽  
Abductor Hallucis Muscle

Loss of soft tissue coverage distally around the foot poses threats of amputation of the exposed boney structures. An amputation of a portion of the foot leads to loss of the biomechanical structural integrity of the foot. This promulgates an imbalance with its inherent risks of developing new ulcers. This in turn potentiates the limb loss cycle. The reverse abductor hallucis muscle flap is ideally suited for small to moderate-sized defects in the vicinity of the first metatarsophalangeal joint based on its arc of rotation. In this article, we present cases of 5 patients who failed local wound care and healing by secondary intention for at least 6 months duration. The patients were treated successfully using reverse abductor hallucis muscle flap.

The popliteal to medial plantar artery bypass with an in-situ vein graft

1995 ◽  
Vol 3 ◽  
pp. 141-141
Author(s):  
Y KUBO ◽  
T SASAJIMA ◽  
M INABA ◽  
K GOH ◽  
N OTANI ◽  
...  
Keyword(s):  
Vein Graft ◽  
Artery Bypass ◽  
Plantar Artery ◽  
Medial Plantar Artery
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