Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.
  Table of Contents / Chapter 5:
Dorsalis Pedis

This patient had a flexion contracture of the volar surface of the second metatarsal area.

FIG. 5-31. Underlying loss of tendon and neurovascular bundles secondary to a gunshot wound.

FIG. 5-32. The flexion contracture has been corrected, leaving soft tissue tendon and neurovascular defects.

FIG. 5-33. The small dorsalis pedis skin island is outlined.

FIG. 5-34. A long vascular pedicle of the dorsalis pedis artery and venae comitantes, deep peroneal nerve, and extensor tendon are carried with the skin island.

FIG. 5-35. Restoration of cover, tendon, and neurovascular cover has been accomplished. Extension is shown.

FIG. 5-36. Flexion is shown.


1. Daniel, R.K., Terzis, J., and Midgley, R.D.: Restoration of sensation to an anesthetic hand by a free neurovascular flap from the foot. Plast. Reconstr. Surg. 57:275, 1976.

2. Gilbert, A., et al.: Transfert sur la main d'un lambeau libre sensible. Chirurgie 101:691, 1975.


3. Mathes, S.J.: Microvascular joint transplantation with epiphyseal growth. J. Hand. Surg. 6:586, 1980.

4. May, J.W., Chait, L.A., Choen, B.E., and O'Brien, B.McC: Free neurovascular flap from the first web of the foot in hand reconstruction. J. Hand. Surg. 3:387, 1977.

5. Morrison, W.A., O'Brien, B.McC., and Hamilton, R.B.: Neurovascular free foot flaps in reconstruction of the mutilated hand. Clin. Plast. Surg. 5:265, 1978.

6. Morrison, W.A., O'Brien, McC., MacLeod, A.M., and Gilbert, A.: Neurovascular free flaps from the foot for innervation of the hand. J. Hand Surg. 3:235, 1978.

7. Ohmori, K., and Harii, K.: Free dorsalis pedis sensory flap of the hand, with microneurovascular anastomoses. Plast. Reconstr. Surg. 58:546, 1976.

8. Strauch, B., and Tsui, H.: Restoration of sensation to the hand by a free microneurovascular flap from the first web space of the foot. Plast. Reconstr. Surg. 62:361, 1978.

9. Taylor, G.I., and Townsend, P.: Composite free flap and tendon transfer: An anatomical study and a clinical technique. Br. J. Plast. Surg. 32:170, 1979.

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