Reconstruction of a Plantar Defect Using a Split-Thickness Skin Graft: A Case Report and Review of Reconstructive Decision-Making

Acral lentiginous melanoma presents reconstructive challenges due to its location in weight-bearing areas. We report the case of a 65-year-old female patient with plantar melanoma treated with wide local excision and sentinel lymph node biopsy. Reconstruction was performed using a split-thickness skin graft. The patient achieved complete graft integration without complications and preserved ambulation. This case supports that skin grafting should be considered a first-line reconstructive option in selected plantar defects, minimizing morbidity compared to flap-based techniques.