Repairation the composite tissue defects of heel by using the free iliac flap with nerve anastomosis

VernacularTitle:吻合神经的游离髂骨皮瓣修复足跟部复合组织缺损
Author: Jiali WANG ; Chunxia ZHAO ; Zhonghua CHEN
Publication Type:Journal Article
Keywords: Iliac flap; Cutaneous nerve; Heel; Composite tissue defects
From: Chinese Journal of Microsurgery 2014;37(1):35-38
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effects of reconstruction by using the free iliac flap with nerve anastomosis to repair the composite tissue defects of heel.Methods From March 2009 to August 2012,five cases with the composite tissue defects of heel,including 2 cases with the bottom defects and 3 cases with the tibial defects of heel,were repaired by the free iliac flap,and the feeling of the heel were reconstructed by nerve anastomosis of the flap.The ventral wound were sutured simply.Results All iliac flaps survived and the wound healed in one stage.Patients were followed up from 6 months to 12 months.Appearance and function recovered and the feeling recovered from S2-S3.The foots walked freely.The skin of iliac abdomen were scarred and lead to hyperpigmentation.Conclusion Using the free iliac flap with nerve anastomosis could repair the bone and soft tissue defects of heel and reconstruct the sensation of warmth and sense of pain of the heel.With the characteristics of hidden wound and little damage,the clinical effects was satisfied.