Heel reconstruction with an iliac osteocutaneous free flap in a child

We report a case of heel reconstruction in a 13-month-old child in one stage. An iliac crest osteomyocutaneous free flap based on the deep circumflex vessels was transferred using microsurgical techniques. The apophysis of the os calcis was replaced with a portion of the iliac epiphysis to allow normal growth of the heel. At age 2 years, the patient is walking normally and wearing regular shoes of equal size. Gait analysis reveals normal ambulation.