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The reconstruction of distal foot for various defects or contractures mainly over or near the toes has always been a diffi cult task. A fl ap distally based on fi rst web space is dependent upon a perforator arising from the the distal communicating artery between the fi rst dorsal and plantar metatarsal arteries, can be used for the coverage of the toe or the distal foot defects. Method: An observational study was conducted with the study period from August 2016 till August 2018. 10 patientsdoi:10.17352/2455-2968.000073 fatcat:7gvixhxze5csdkzgpxnqt6zlpq