===== Abductor Hallucis Muscle Flap =====

{{https://upload.wikimedia.org/wikipedia/commons/f/f8/Gray443.png}}

==== Key Points =====
  
Supplied segmentally by medial plantar artery, and can be distally based. This is useful as the proximal part is muscular and can be used to cover various defects.

{{https://upload.wikimedia.org/wikipedia/commons/3/3e/Gray555.png}}

Schwabeggar describes dividing the medial plantar artery proximally (it is smaller and less important for the foot than lateral plantar artery). Clamp and check flap and foot circulation before dividing it.

The medial plantar nerve runs close to it and should be dissected away carefully




====Alternatives====
  * Dorsalis pedis flap
  * Medial sural perforator free flap
  * [[https://www.microsurgeon.org/medialplantar|Medial Plantar Flap]]

====See also====
  * [[md:abductor_hallucis| Muscle Anatomy]]
  * [[https://radiopaedia.org/articles/arterial-supply-to-the-foot|Foot arterial supply]]

====References====
  * Lee, S., Kim, M. B., Lee, Y. H., Baek, J. K., & Baek, G. H. (2015). Distally Based Abductor Hallucis Adipomuscular Flap for Forefoot Plantar Reconstruction. Annals of Plastic Surgery, 75(3), 319–322. https://doi.org/10.1097/SAP.0000000000000116
  * Orbay, H., Kerem, M., Ünlü, R. E., Esmer, A. F., Cömert, A., Tüccar, E., & Şensöz, Ö. (2007). Vascular Anatomy of Plantar Muscles. Annals of Plastic Surgery, 58(4), 420–426. https://doi.org/10.1097/01.sap.0000239821.73853.95
  * Schwabegger, A. H., Shafighi, M., Harpf, C., Gardetto, A., & Gurunluoglu, R. (2003). Distally Based Abductor Hallucis Muscle Flap: Anatomic Basis and Clinical Application: Annals of Plastic Surgery, 51(5), 505–508. https://doi.org/10.1097/01.SAP.0000058505.34641.DB


==== History ====
  * created 2021-05-17