Combined medial plantar flap and groin flap for reconstruction of heel soft tissue defects
10.3760/cma.j.cn114453-20210318-00122
- VernacularTitle:足底内侧岛状皮瓣联合腹股沟游离皮瓣修复足跟部软组织缺损
- Author:
Dengwen GAO
1
;
Yaojun WANG
;
Zhongliang REN
;
Jiajie XUE
;
Lei GUO
;
Qingye HAO
;
Fucheng GAO
;
Jie YANG
Author Information
1. 榆林市第二医院烧伤整形手足外科，榆林 719000
- Keywords:
Surgical flaps;
Medial plantar flap;
Groin flap;
Heel;
Soft tissue injuries;
Microsurgical technique
- From:
Chinese Journal of Plastic Surgery
2022;38(1):69-73
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of medial plantar flap combined with free groin flap in the reconstruction of heel defect.Methods:The patients with heel skin and soft tissue defects admitted to the Department of Burns & Plastic and Hand & Foot Surgery of Yulin No.2 Hospital from October 2015 to December 2020 were retrospectively analyzed. After emergency debridement, a plantar medial island flap was used to repair the foot heel defect, a free groin flap was used to repair the medial plantar donor site, and the groin donor site was closed primarily. Postoperatively routine anti-infection, spasmolysis, anticoagulation, expanding treatment were performed after the procedure. The blood supply, survival of the flap, and the healing of the donor area of the flap were observed. The shape and function of the heel were observed in follow-up.Results:Eight patients were enrolled, including 7 males and 1 female, aged from 20 to 71 years, with an average of 32.2 years. There were 5 cases of heel trauma, 1 case of heel squamous cell carcinoma, 1 case of heel frostbite, and 1 case of heel ulcer. The wound area of the heel was 4 cm×3 cm-7 cm×6 cm. The surgical procedure was smooth, and the incision range of the heel island flap and groin flap was 0.5-1.0 cm larger than that of the heel wound. All 8 patients had primary healing after the operation. Follow-up for 3-12 months showed that all patients were satisfied with heel shape, sensory function and walking function. There was no depression, scar hyperplasia, and contracture in the medial plantar donor area, and no local skin ulcer. There is only a linear scar in the groin donor area.Conclusions:Medial plantar island flap combined with a free groin flap can repair the defect of the heel, and the affected foot has good healing, certain sensory function, and satisfactory curative effect.
