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R econstruction of the distal portion of the foot has always represented a difficult problem in plastic surgery.A method for reconstruction of a soft tissue defect of the big toe using the reverse first dorsal metatarsal artery flap is presented.This flap is supplied by minute cutaneous branches of the first dorsal metatarsal artery and can be extended to the territory of the dorsalis pedis artery.A reversed dorsal metatarsal artery flap presents a viable alternative for reconstruction of soft tissue defects of dorsal great toe when local flap coverage is required.
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Balakrishnan et al. (2009) studied this question.
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