Skin defects covered using medialis pedis flaps after correction of severe flexion contracture of the big toes due to plantar fibromatosis.

tendon just proximal to the navicular bone tubercle and bifurcates to medial and lateral branches. The medial branch of the deep branch of the medial plantar artery nourishes the skin of the medial aspect of the foot along the midlateral line of the first metacarpus. A flap can be extended to the middle of the first metacarpus distally and the medial malleolus proximally. The maximum size of a flap based on this branch is reported to be 5– 10cm (Fig. 1).7