The dorsalis pedis island pedicle flap is used frequently for coverage of small soft tissue defects (3 cm to 5 cm) of the foot and ankle. Defects overlying the malleoli, heel, and distal tibia can be covered by mobilization of the anterior tibial pedicle. For these small flaps the venous comitantes provide adequate outflow. These flaps should be considered in preference to cross leg and free flaps when feasible due to their relative efficacy and reliability.
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John S. Gould (1986) studied this question.
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