The distally based islanded dorsal foot flap

A modification of the distally based first web space flap on the dorsum of the foot is described. This flap, originally described by Earley and Milner, has been completely islanded on its blood supply and used to resurface defects following release of post-burn hyperextension contractures of the toes. Our experience with 14 consecutive flaps is presented. Partial necrosis occurred in three flaps, one leading to slight residual contracture. We have found this flap reliable and easy to raise, and the donor site morbidity is minimal.