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Heel reconstruction with parallel fibular osteoseptocutaneous flap
Acta Orthopaedica Belgica
|September 30, 2016
Summary
The parallel fibular osteoseptocutaneous flap offers a reliable solution for reconstructing complex heel defects, ensuring both function and aesthetics. This surgical technique demonstrated a 100% flap survival rate and successful bone union in a small patient cohort.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Reconstructing heel defects presents significant functional and aesthetic challenges.
- Composite defects involving both bone and soft tissue require specialized reconstructive approaches.
Purpose of the Study:
- To evaluate the efficacy of the parallel fibular osteoseptocutaneous flap for repairing composite heel defects.
- To assess flap survival, complication rates, and bone union following this reconstructive technique.
Main Methods:
- A retrospective analysis of 4 patients undergoing reconstruction of composite heel defects.
- Utilized the parallel fibular osteoseptocutaneous flap for defect coverage and bone reconstruction.
- Follow-up ranged from 24 months to 3 years.
Main Results:
- Achieved 100% flap survival in all patients, providing excellent coverage.
- Observed only one superficial wound infection as a postoperative complication.
- Demonstrated successful graft-to-host bone union in all cases within an average of 6 months.
Conclusions:
- The parallel fibular osteoseptocutaneous flap is a dependable method for reconstructing composite bone and soft-tissue heel defects.
- This flap provides a viable option for restoring both form and function in challenging heel reconstructions.
