Heel reconstruction with flexor digitorum brevis musculocutaneous flap

A 4-year-old girl with an extensive soft tissue loss of the left heel is presented. Management by debridement followed by coverage with an innervated flexor digitorum superficialis musculocutaneous flap resulted in primary healing. Full weight-bearing ambulation was resumed 8 weeks postoperatively. The patient has been ambulating on the reconstructed heel for 18 months without difficulty. Technical aspects of the reconstruction are presented as well as a discussion of treatment alternatives.