plantar (P) skin is thick and firmly attached to the underlying structures. Therefore, the objective of reconstructive
surgery is to restore the foot skin's capacity to respond to weight bearing and withstand shearing pressures. This
study was undertaken to compare the clinical implementations of distally based sural artery flap (DSAF) against
medial plantar artery flap (MPAF) as a reconstructive alternative for foot abnormalities in terms of size of the defect,
operational technique, and results (success and complications).
Methods: This prospective research was done on 20 cases presented with foot defects. Cases were allocated into
two equal groups: Group 1 comprised 10 cases with MPAF, and Group 2 comprised 10 cases with reversed sural
flap.
Results: Size of the defect was significantly lower in MPAF compared to reversed sural flap group. Donor closure
was significantly better in reversed sural flap group compared to MPAF. Donor morbidity represented in graft
healed, delayed healing, wound healed was indifferent between both groups. Flap sensation was significantly better
in MPAF compared to reversed sural flap group. Flap reach was significantly longer in reversed sural flap group
compared to MPAF. Complications (dehiscence in one edge, ischemic flap and ischemic distal part) were indifferent
between both groups
Conclusions: In cases with foot defects, size of defect, and flap reach were significantly higher in MPAF compared
to reversed sural flap. Flap sensation was significantly better in MPAF compared to reversed sural flap in contrast to
donor closure. Additionally, reported complications, case satisfaction, and donor morbidity were indifferent between
both groups.