ePlasty: Vol. 14
A Previously Discounted Flap Now Reconsidered: MatriDerm and Split-Thickness Skin Grafting for Tendon Cover Following Dorsalis Pedis Fasciocutaneous Flap in Lower Limb Trauma
Jonathan A. Dunne, MBChB, MRCS,a Daniel J. Wilks, MBChB, MRCS,b and Jeremy M. Rawlins, MBChB, MPhil, FRCS (Plast)c

aDepartment of Plastic Surgery, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK; bDepartment of Plastic Surgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK; and cDepartment of Plastic Surgery and Burns, Royal Perth Hospital, Wellington Street, Perth 6000, Australia

Correspondence: jonathan.a.dunne@gmail.com
Keywords: dorsalis pedis flap, reconstruction, MatriDerm, skin, lower limb trauma

Objective: The dorsalis pedis flap has reliable vascularity; however, its use is limited by reports of donor site morbidity including infection, delayed healing, exposure of tendons, and later contractures. The purpose of this study was to demonstrate its continued role in lower limb trauma when the donor site is reconstructed with MatriDerm to avoid complications. Methods: A 65-year-old man presented with a displaced, Gustilo 3b open transverse fracture of his left distal fibula. He had a 2 cm2 open wound over his lateral malleolus. Resu .......