Can The Medial Plantar Artery Flap Be Beneficial For Diabetic Heel Ulcers?

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Ronald J. Belczyk, DPM, AACFAS, Lee C. Rogers, DPM, and George Andros, MD

   Dr. Andros is the Medical Director of the Amputation Prevention Center at Valley Presbyterian Hospital in Los Angeles. He is a board-certified vascular surgeon with over 40 years experience and is a renowned specialist in the revascularization of diabetic limbs. Dr. Andros serves as the Co-Director of the Diabetic Foot Global Conference and is a member of the American Diabetes Association and the Society for Vascular Surgery.


1. Koshima I, Narushima M, Mihara M, et al. Island medial plantar artery perforator flap for reconstruction of plantar defects. Ann Plast Surg. 2007; 59(5):558-562.
2. Baker GL, Newton ED, Franklin JD. Fasciocutaneous island flap based on the medial plantar artery: clinical applications for leg, ankle, and forefoot. Plast Reconstr Surg. 1990; 85(1):47-58; discussion 59-60.
3. Skef Z, Ecker HA, Jr., Graham WP, 3rd. Heel coverage by a plantar myocutaneous island pedicle flap. J Trauma. 1983; 23(6):466-472.
4. Macchi V, Tiengo C, Porzionato A, et al. Correlation between the course of the medial plantar artery and the morphology of the abductor hallucis muscle. Clin Anat. 2005; 18(8):580-588.
5. Ulkur E, Acikel C, Karagoz H, Celikoz B. Refinements of medial plantar flap used for covering nonweightbearing ankle and posterior heel defects requiring thin flaps. Ann Plast Surg. 2005; 55(4):371-373.

Additional References

6. Mourougayan V. Medial plantar artery (instep flap) flap. Ann Plast Surg. 2006; 56(2):160-163.
7. Schwarz RJ, Negrini JF. Medial plantar artery island flap for heel reconstruction. Ann Plast Surg. 2006; 57(6):658-661.
8. Schwarz R. Reverse medial plantar artery flap. Lepr Rev. 2006; 77(1):69-75.

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