 The article describes a case where an unpublished technique using a retrograde flow medial plantar flap was used for the reconstruction of dorsodistal structures of the foot in a 20-year-old woman who sustained foot trauma with loss of back substance. The flap was transposed to the back of the foot and the results showed that graphs are not ideal for deep defects and exposure of noble structures, local flaps are inaccessible for finger defects, and free flaps are well indicated for large defects. The flaps of the medial plantar artery are indicated and consecrated to the forefoot region and some authors have modified them to the dorsum region of the first metatarsal. The article concludes that this flap is useful for reconstruction of feet with dorsal lesions through a new technique that is unpublished in the literature with the originality of passing the pedicle from the plant to the back through the first inter-metatarsal space. This article was authored by Altino Vieira de Resen Filioneto, Adilson Alves de Silva, Jefferson Lessa Sores de Macedo, and others. We are article.tv, links in the description below.