Distally based abductor hallucis muscle flap: anatomic basis and clinical application

Schwabegger, Anton H; Shafighi, Maziar; Harpf, Christoph; Gardetto, Alex; Gurunluoglu, Raffi (2003). Distally based abductor hallucis muscle flap: anatomic basis and clinical application. Annals of plastic surgery, 51(5), pp. 505-8. Hagerstown, Md.: Lippincott Williams & Wilkins 10.1097/01.SAP.0000058505.34641.DB

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Although rarely used, the abductor hallucis muscle has its indications in coverage of small defects at the medial aspect of the hindfoot as a proximally based muscle flap. The authors describe a 69-year-old female patient in whom the abductor hallucis muscle was used as a distally based flap to reconstruct a defect in the forefoot. An anatomic study was undertaken on two cadaveric feet to explore the practicality of the distally based abductor hallucis muscle flap before it was applied clinically. The distally based abductor muscle flap receives its blood supply from minor and major pedicles in a retrograde fashion from both the dorsal arterial network and the deep plantar system, through communicating branches with the medial plantar artery distally. Transposition of the distally based hallucis flap is only advisable in individuals who have no vascular compromise in the lower leg and foot. To the authors' knowledge, this modification has not yet been described in the available literature.

Item Type:

Journal Article (Further Contribution)


04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Plastic, Reconstructive and Aesthetic Surgery

UniBE Contributor:

Shafighi, Maziar






Lippincott Williams & Wilkins




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Date Deposited:

04 Oct 2013 15:04

Last Modified:

04 May 2014 23:20

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https://boris.unibe.ch/id/eprint/28029 (FactScience: 115661)

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