Summary
Five musculocutaneous flaps based on the medial plantar neurovascular bundle were used for complete loss of skin and subcutaneous tissue of the heel and three fasciocutaneous flaps for its partial loss. All flaps survived completely. These flaps had good sensitivity and resisted weight-bearing conditions. The patients have been free from recurrent ulceration in the heel and have had no difficulties with walking.[/ab]
Similar content being viewed by others
References
Curtin JW (1977) Functional surgery for intractable conditions of the sole of the foot. Plast Reconstr Surg 59:806
Harrison DH, Morgan BDG (1981) The instep island flap to resurface plantar defects. Br J Plast Surg 34:315
Hartrampf CR, Scheflan M, Bostwick J (1980) The flexor digitorum brevis muscle island pedicle flap: A new dimension in heel reconstruction. Plast Reconstr Surg 66:264
Mir Y Mir L (1954) Functional graft of the heel. Plast Reconstr Surg 14:444
Reiffel RS, McCarthy JG (1980) Coverage of heel and sole defects: A new subfascial arterialized flap. Plast Reconstr Surg 66:250
Shanahan RE, Gingrass RP (1979) Medial plantar sensory flap for coverage of heel defect. Plast Reconstr Surg 64:295
Sommerlad BC, McGrouther DA (1978) Resurfacing the sole: Long-term follow-up and comparision of technique. Br J Plast Surg 31:107
Taylor GA Hopson WLG (1975) The cross-foot flap. Plast Reconstr Surg 55:677
Vasconez LO, Bostwick J, McCraw J (1974) Coverage of exposed bone by muscle transposition and skin grafting. Plast Reconstr Surg 53:526
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Okada, T., Tsukada, S. Coverage of heel defects by musculocutaneous and fasciocutaneous flap based on medial plantar neurovascular bundle. Eur J Plast Surg 9, 117–121 (1986). https://doi.org/10.1007/BF00298954
Issue Date:
DOI: https://doi.org/10.1007/BF00298954