The Role of Medial Plantar Artery Flap in Heel Pad Reconstruction: A Report of Two Cases
Zhi Sing Oon, Ren Yi Kow, Akmal Azim Ahmad Alwi, Mohd Adham Shah Ayeop, Chooi Leng Low, Aminudin Che Ahmad
Abstract
The heel and sole possess unique anatomical characteristics that serve a weight-bearing and shock-absorbing function. The heel is particularly vital, as any defects in this area can lead to gait instability. Reconstructing a heel defect presents challenges, as the donor flap must be durable enough to withstand high force loads while also providing protective sensation. Recently, the medial plantar artery flap has been successfully employed for the reconstruction of defective heel pads. This flap offers glabrous skin capable of weight transmission and intact protective sensation. In this report, we present two cases of heel pad loss secondary to chronic diabetic complications and trauma, respectively, which were treated with medial plantar artery flap reconstruction. Both cases were successfully treated, and they showed a good functional outcome.