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Heel Reconstruction With Bipedicled Flap: A Salvage Procedure
Alper Burak Uslu1, Ramazan Erkin Ünlü1
1Ankara Numune Training and Research Hospital, Ankara, Turkey.
The International Journal of Lower Extremity Wounds
|February 25, 2020
Summary
Reconstructing heel defects is challenging, especially in older patients. A new bipedicled flap technique offers a safe and effective salvage option when free flaps are not feasible.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Heel defect reconstruction presents significant challenges due to the proximity of the calcaneal bone and Achilles tendon.
- Traditional methods like fasciocutaneous free flaps are effective but may not be suitable for elderly patients with comorbidities.
Purpose of the Study:
- To introduce and evaluate a novel bipedicled flap technique for heel defect reconstruction.
- To assess the safety, reliability, and efficiency of this technique as a salvage procedure.
Main Methods:
- A retrospective case series involving 6 patients (1 female, 5 males) with heel defects.
- Application of a bipedicled flap for reconstruction in cases where advanced options were not viable or had failed.
Main Results:
- Complete reconstruction of heel defects was achieved in all 6 patients.
- The bipedicled flap technique demonstrated success as a salvage procedure.
Conclusions:
- The bipedicled flap is a safe, reliable, and efficient method for heel defect reconstruction.
- This technique serves as a valuable salvage option for complex heel defects, particularly in patients unsuitable for free flaps.
