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Heel coverage with a deepithelialized distally based fasciocutaneous flap
1Department of Plastic Surgery, School of Medicine, Universidad de la República, Montevideo, Uruguay.
Plastic and Reconstructive Surgery
|January 1, 1990
Summary
A novel distally based fasciocutaneous flap offers stable heel coverage. This technique utilizes specific perforators and avoids pedicle kinking for improved patient function.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Heel defects pose reconstructive challenges due to limited surrounding tissue.
- Traditional flap methods may have complications like pedicle kinking or inadequate blood supply.
Observation:
- A distally based fasciocutaneous flap was developed for heel coverage.
- The flap's vascularity relies on distal septocutaneous perforators linked to the suprafascial plexus.
- A "turn-down" transposition and distal deepithelialization technique were employed.
Findings:
- The described flap technique successfully provided stable coverage for heel defects.
- The method effectively prevented pedicle kinking.
- One-year follow-up demonstrated normal function and durable coverage.
Implications:
- This flap offers a viable reconstructive option for heel defects.
- The technique may improve functional outcomes in lower extremity reconstruction.
- Further studies can explore its application in diverse patient populations.