Reverse first dorsal metatarsal artery flap for reconstruction of a soft tissue defect of the big toe. A case report

ABSTRACT: Introduction: The distal foot is the main weightbearing part of the foot, and soft tissue reconstruction of this area, especially the toes, is a difficult problem in reconstructive surgery. The ideal flap should have a dependable vascular supply, provide an acceptable functional and aesthetic result, and cause minimal donor site morbidity Clinical case: We present the case of a patient of 61 years old, he suffered an electrical burn with a high-voltage cable when he was working with a blacksmith. Entry site on both hands with exit site on the 1st toe of the right foot. Due to sequelae of a burn in the first toe of the right foot, programming for performing a reverse flap of the first dorsal metatarsal artery, which was performed without complications. Conclusion: The advantages of the reverse FDMA flap include: 1) creation of a thin and pliable flap providing good contour that avoids debulking procedures or special footwear; 2) decreased operative, hospitalization, and recovery times; 3) minimal donor site morbidity; 4) reliability; and 5) single-stage procedure. First dorsal metatarsal artery flap, great to