Second Intention Healing for Large Surgical Defects of the Foot

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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.
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