Although most plantar ulcers respond to conservative therapy, such as protective padding, metatarsal supports, and gait correction, a few persist and constitute a major medical, social, and economic disability. These intractable plantar defects can be speedily and successfully treated by relatively simple surgical techniques, such as split grafts and pedicle flaps, either local or distant. These techniques were used in the management of 15 patients with chronic plantar ulcers.
Murray JE, Goldwyn RM. Definitive Treatment of Intractable Plantar Ulcers. JAMA. 1966;196(4):311–314. doi:10.1001/jama.1966.03100170053015