Soft tissue defects of the foot due to trauma, infection, or malignancy are common
and present a reconstructive challenge, as the foot requires specialized tissue that
is thin, supple, yet durable enough to support the high demand of its function. The
temporoparietal fascial flap, based on the superficial temporal artery and vein, is
a reliable and versatile flap that possesses all these advantages. We present a case
series detailing our experience with this flap for reconstruction of post-traumatic
soft tissue defects of the foot in 4 patients (3 children and 1 young adult) with
5-year follow-up data. All patients were able to use the foot normally again to full
capacity and wear normal footwear. They were also satisfied with the aesthetic outcome
of the reconstruction and well-concealed donor site. This series highlights the success
of this flap in providing excellent functional and aesthetic coverage for soft tissue
foot defects in children and young adults, with minimal donor site morbidity.
Level of Clinical Evidence
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Published online: November 04, 2020
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Financial Disclosure: None reported.
Conflict of Interest: None reported.
© 2018 by the American College of Foot and Ankle Surgeons. All rights reserved.
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