00979nas a2200241   4500000000100000008004100001260001300042653000900055653001500064653001100079653001200090653000900102653001600111653001900127653003300146100001700179700001200196245003700208300001100245490000800256520045900264022001400723       1999                            d  c1999 Jun10aFoot10aFoot Ulcer10aHumans10aleprosy10aMale10aMiddle Aged10aSurgical Flaps10aVascular Surgical Procedures1 aBhandari P S1 aSobti C00aReverse flow instep island flap.  a1986-90 v1033 a<p>The retrogradely perfused medial plantar artery flap was used in a leprosy patient with a plantar ulcer over the heads of the second and third metatarsals. The flap is based on the anastomosis of the medial plantar artery with the branch of the first plantar metatarsal artery, which supplies the medial side of the great toe. This design provides reconstruction with like local tissues while not distorting the weight-bearing pattern of the foot.</p>  a0032-1052