Sensate free radial forearm flap reconstruction to the instep following recurrent plantar fibromatosis: a case report

Plantar fibromatosis is a complex problem encountered by many surgeons in different specialties. Understanding the complexity of this debilitating disease and awareness of the concept of the reconstructive toolbox is crucial in achieving best surgical outcome. We present a case where an instep defect following an excision of recurrent plantar fibromatosis was reconstructed with a sensate free radial forearm flap. We selected this flap as it is thin and pliable therefore allowing restoration of the anatomic contour of the foot. It is relatively quick and easy to raise with a two team approach and can cover a large defect. It is also sensate hence providing protection to the foot. The use of a free radial forearm flap for instep defect has provided a good cosmetic and functional outcome in this case.