Distal Foot Reconstruction Using Distally based First Web Flap: A Case Series

Background: The reconstruction of distal foot for various defects or contractures mainly over or near the toes has always been a difficult task. A flap distally based on first web space is dependent upon a perforator arising from the distal communications between the first dorsal and plantar metatarsal arteries, can be used for the coverage of the toe or the distal foot defects. Method: We had operated 10 patients with toe defects and contractures at the dorsum of the distal foot . Demographic data of the patients were collected and evaluated in terms of age, gender, etiology of injury, site and dimensions of defects, complications, final outcome. Results: Complications were noted in only two cases in the form of wound infections. Both the cases were managed accordingly. Conclusion: With our study we concluded that a distally based flap can be reliably raised from the first web space based upon a perforator arising from the distal communication artery between First Dorsal and First Plantar Metatarsal Artery to cover defects in distal foot.