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Mourougayan [13] advocates the use of the medial plantar artery instep flap as it can be raised as an island fasciocutaneous flap based on medial plantar vessels, with the branch of the medial plantar nerve supplying the instep skin and reaching the posterior-most part of the weightbearing surface of the heel with ease.
Medial plantar artery flap is an excellent option for weight bearing heel but its involvement in trauma frequently precludes its use.

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