Loss of part or whole of foot is a distressing problem. The choice of reconstructive modality changes with advancement of science and hence, their long-term outcome is a matter of debate.

Materials and methods: consecutive cases of loss of part or whole of sole of over the preceding five years were studied. Patient profiles, etiology, nature of defects, reconstructive method used and the outcome were studied.

Results: A total of 26 limbs were treated for defects in sole of foot. Various modalities like adjacent flaps, pedicled flaps and free flaps were used to reconstruct various types of defects. The long-term outcome revealed weight-bearing and return of sensation in all patients. Return to workplace was at 53 days on average. Two cases of free muscle flap with split-skin grafting had repeated skin breakdown.

Discussion: reconstructive options for sole of foot are evolving. However, the principles and demand remain the same. 

Conclusion: The reconstructive surgeon should be aware of the demands on the reconstructed sole and the various reconstructive modalities available. Treatment needs to be individualized to each patient. A continuous review of the cases and long-term results is necessary to enrich the science.