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Experiences with the lateral calcaneal artery flap.
S E Hovius1, A Hofman, J C van der Meulen
1Department of Plastic and Reconstructive Surgery, Academic Hospital Dijkzigt, Erasmus University, Rotterdam, the Netherlands.
Annals of Plastic Surgery
|December 1, 1988
Summary
The lateral calcaneal artery flap offers a reliable solution for chronic heel and ankle ulcers, achieving successful defect coverage. This neurovascular flap ensures patients can wear closed shoes, with minor donor site complications.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Dermatology
Background:
- Chronic ulcers on the posterior heel or lateral ankle present significant patient challenges.
- Effective reconstructive techniques are crucial for defect coverage and functional restoration.
Observation:
- The lateral calcaneal artery flap, incorporating the sural nerve and lesser saphenous vein, was utilized for chronic ulcer reconstruction.
- Seven cases were performed between 1974 and 1986 for heel or lateral malleolus ulcers.
Findings:
- All seven lateral calcaneal artery flaps were successful in covering the ulcer defects.
- No flap failures were recorded in the study cohort.
- All patients were able to wear closed shoes post-operatively.
Implications:
- The lateral calcaneal artery flap is a dependable option for reconstructing chronic heel and ankle ulcers.
- Careful flap planning is essential to minimize donor site morbidity, such as hyperkeratosis.
- This technique facilitates functional recovery, allowing patients to resume wearing closed footwear.