Single-stage Hallux Reconstruction with Free Wraparound Medial Plantar Artery Flap with Iliac Bone Graft: A Case Report

Abstract

Hallux reconstruction remains a challenging endeavor. The main aim of reconstruction is robust soft tissue cover with minimal contour abnormality to permit normal footwear and mobility. We had a young female present with gangrenous hallux. After discussing the various treatment options, a single-stage procedure was undertaken using a free wraparound medial plantar artery flap combined with an iliac bone graft. This innovative approach allowed for simultaneous restoration of soft tissue coverage and bony support, resulting in remarkable functional and esthetic improvement. The postoperative period was uneventful, resulting in a stable discharge. The patient was able to attend work and function in her premorbid capacities well, with remarkable functional and esthetic improvement.

Keywords

• bone graft
• case report
• gangrene
• hallux reconstruction
• medial plantar artery
• paronychia