Fundamentals of Plantar Reconstruction

The plantar foot presents a distinct reconstructive challenge. The foot has unique glabrous skin, bears a high amount of load-bearing force, and is particularly bereft of soft tissue. Defects or inadequate reconstruction can lead to poor ambulation, inability to wear proper footwear, and a decreased quality of life. The foot has previously been organized into several subunits to distinguish the tissue demands pertinent to each1. This article describes reconstructive strategies including local, regional, and free flap options for subunits that involve the plantar foot.