Reconstruction of heel soft tissue defects using sensate medial plantar flap

Authors

Mihaela Pertea, Grigore T. Popa University of Medicine and Pharmacy of Iasi, St. Spiridon Emergency County Hospital, Department of Plastic Surgery and Reconstructive Microsurgery, Iasi, Romania
Natalia Velenciuc, Grigore T. Popa University of Medicine and Pharmacy of Iasi, Regional Institute of Oncology, Department of Surgery, Iasi, Romania
Oxana Grosu, St. Spiridon Emergency County Hospital, Department of Plastic Surgery and Reconstructive Microsurgery, Iasi, Romania
Bogdan Veliceasa, Grigore T. Popa University of Medicine and Pharmacy of Iasi, St. Spiridon Emergency County Hospital, Department of Orthopedics and Traumatology, Iasi, Romania
Vladimir Poroch, Grigore T.Popa University of Medicine and Pharmacy of Iasi, Regional Institute of Oncology, Department of Palliative Care, Iasi, RomaniaFollow
Sorinel Lunca, Grigore T. Popa University of Medicine and Pharmacy of Iasi, Second Clinic of Surgery, Regional Institute of Oncology, Iasi, Romania

Abstract

Introduction. Reconstruction of heel soft tissue defects represents a true challenge for any surgeon due to the particularities of this anatomical region. The tissue used to reconstruct the heel area must be resistant, innervated, and adapted to take over the body weight. Innervated medial plantar fasciocutaneous flap is one of the best solutions to cover defects at the heel level.

Materials and Methods. We studied 5 patients, 4 males and one female, aged 42 to 67 years, who presented heel soft tissue defects of various etiologies. In all cases, the used reconstructive method was an insular innervated medial plantar fasciocutaneous flap.

Results. Immediate and late outcomes were good. No immediate complications of necrosis type were recorded in any of the cases, and 2 years postoperatively there was no evidence of ulceration or other type of flap injury. The socio-professional reintegration of the patients was relatively rapid and their satisfaction was high. Donor area morbidity was minimal.

Conclusions. Sensate medial plantar fasciocutaneous flap represents the first choice for the reconstruction of the heel soft tissue defects when patients’ local and general status allows it.

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Recommended Citation

Pertea, Mihaela; Velenciuc, Natalia; Grosu, Oxana; Veliceasa, Bogdan; Poroch, Vladimir; and Lunca, Sorinel (2018) "Reconstruction of heel soft tissue defects using sensate medial plantar flap," Journal of Mind and Medical Sciences: Vol. 5: Iss. 2, Article 16.
DOI: https://doi.org/10.22543/7674.52.P250254
Available at: https://scholar.valpo.edu/jmms/vol5/iss2/16