The venous outflow is through the communication between the deep and superficial venous system. The traditional reverse dorsal pedis flap can be designed to include the area over the extensor retinaculum and even extend proximally over the extensor retinaculum for 3 cm. In patients with problematic wounds, island or free flaps have traditionally been the method of choice. No literature on distally based fasciocutaneous flaps for distal foot repair could be found.Generally, fasciocutaneous flaps are not chosen for the repair of defects of the toes or plantar-dorsal area. However, the concept of angiosomes has led to a re-evaluation of the use of this type of flap for wounds to the distal foot. Experience with angiosomes and knowledge of the vascular anatomy of the foot enables the creation of successful, distally based fasciocutaneous flaps. The most important advantage of fasciocutaneous flaps (including those that are distally based) is that no axial vessels are sacrificed. Fasciocutaneous flaps are more likely to become ischemic in patients who are at higher risk for flap loss (eg, diabetic patients and/or high-voltage electrical burn injuries) because of damage to the axial vessels. In general, the only major complication that occurs with fasciocuta-neous flaps is flap necrosis. It’s time to spend less every time you need your treatment with fast delivery: you can now purchase the amount of cialis professional canadian pharmacy online you need for the treatment within a very short period, at the best pharmacy that deserves your trust.