Second Intention Healing for Large Surgical Defects of the Foot
Reconstructive options are limited for surgical defects on the plantar aspect of the foot. Primary or local flap closures are restricted by a lack of tissue mobility and local tissue reservoirs. Free flaps or complex pedicled flaps based on named arteries require specialized knowledge of anatomy and microvascular surgery.1 As a result, dermatologic surgeons frequently use split- or full-thickness skin grafts on the plantar surface of the foot. Skin grafts on the feet have several disadvantages, including cost, creation of a second surgical site, and the need for the patient to be completely non–weight bearing or even casted during healing to allow for graft take.