Clin Orthop Surg.  2009 Mar;1(1):1-5. 10.4055/cios.2009.1.1.1.

Lateral Calcaneal Artery Adipofascial Flap for Reconstruction of the Posterior Heel of the Foot

Affiliations
  • 1Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea. orthoyhl@snu.ac.kr

Abstract

BACKGROUND: Soft tissue defects of the posterior heel of the foot present difficult reconstructive problems. This paper reports the authors' early experience of five patients treated with a lateral calcaneal artery adipofascial flap.
METHODS
Between 2003 and 2007, five patients (3 males and 2 females) with soft-tissue defects over the posterior heel underwent a reconstruction using a lateral calcaneal artery adipofascial flap and a full-thickness skin graft. The flap sizes ranged from 3.5 x 2.5 cm to 5.5 x 4.0 cm.
RESULTS
All five flaps survived completely with no subsequent breakdown of the grafted skin, even after regularly wearing normal shoes. The adipofascial flap donor sites were closed primarily in all patients.
CONCLUSIONS
Lateral calcaneal artery adipofascial flaps should be included in the surgical armamentarium to cover difficult wounds of the posterior heel of the foot. These flaps do not require the sacrifice of a major artery to the leg or foot, they are relatively thin with minimal morbidity at the donor site, and leave a simple linear scar over the lateral aspect of the foot.

Keyword

Foot; Posterior heel; Soft tissue defect; Lateral calcaneal artery adipofascial flap

MeSH Terms

Adipose Tissue/surgery
Adult
Aged
Child
Child, Preschool
Fascia/surgery
Female
Heel/*surgery
Humans
Male
Skin/surgery
Soft Tissue Injuries/*surgery
*Surgical Flaps/blood supply
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