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[Lateral calcaneal artery flap].

K C Chang, H C Lin, T M Chen

    Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
    |February 1, 1989
    PubMed
    Summary
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    The lateral calcaneal artery flap is a reliable surgical option for posterior heel defects, showing good outcomes in 10 cases. This flap offers protective sensation and allows most patients to resume normal activities.

    Area of Science:

    • Orthopedic Surgery
    • Plastic Surgery
    • Reconstructive Surgery

    Context:

    • Posterior heel defects often result from trauma, particularly in motorcycle-related injuries.
    • Conservative treatments may be insufficient for complex heel defects involving bone or tendon exposure.

    Purpose:

    • To evaluate the efficacy and reliability of the lateral calcaneal artery flap for reconstructing posterior heel defects.
    • To assess functional outcomes and complication rates associated with this reconstructive technique.

    Summary:

    • The study reviewed 10 cases of posterior heel defect reconstruction using the lateral calcaneal artery flap, including 3 diabetic patients.
    • No flap necrosis occurred; one patient experienced wound healing issues, and another had a failed skin graft at the donor site.

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  • All patients retained protective sensation, and 7 ambulatory patients achieved normal daily activity levels.

    • Impact:

    • The lateral calcaneal artery flap is a viable surgical intervention for defects up to 5 cm with exposed bone or tendon.
    • This flap provides good functional recovery and sensation, minimizing donor site morbidity.