Lateral Calcaneal Artery Adipofascial Flap for Reconstruction of the Posterior Heel of the Foot.
- Author:
Moon Sang CHUNG
1
;
Goo Hyun BAEK
;
Hyun Sik GONG
;
Seung Hwan RHEE
;
Won Seok OH
;
Min Bum KIM
;
Kyung Hag LEE
;
Tae Woo KIM
;
Young Ho LEE
Author Information
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords: Foot; Posterior heel; Soft tissue defect; Lateral calcaneal artery adipofascial flap
- MeSH: 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
- From:Clinics in Orthopedic Surgery 2009;1(1):1-5
- CountryRepublic of Korea
- Language:English
- 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.
