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Free lateral calcaneal flap

K Ishikawa1, S Kyutoku, E Takeuchi

  • 1Department of Plastic Surgery, Kyoto University, Japan.

Annals of Plastic Surgery
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

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The lateral calcaneal artery is suitable for microsurgery. A novel lateral calcaneal flap, incorporating the lesser saphenous vein and sural nerve, was successfully developed for reconstructive surgery.

Area of Science:

  • Microsurgery
  • Anatomy
  • Plastic Surgery

Background:

  • Reconstructive surgery often requires versatile flaps for complex defects.
  • The posterior heel, plantar, and hand present unique reconstructive challenges due to limited tissue availability and critical structures.

Observation:

  • Cadaveric dissection revealed the lateral calcaneal artery is of sufficient caliber for microsurgical anastomosis.
  • This anatomical finding supports the feasibility of utilizing the lateral calcaneal artery as a vascular pedicle.

Findings:

  • The lateral calcaneal flap, incorporating the lesser saphenous vein and sural nerve within its pedicle, was successfully designed and applied as a free flap.
  • This thin, sensory flap offers a valuable reconstructive option without compromising major arterial supply.

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Implications:

  • The lateral calcaneal flap provides a new, viable option for reconstructing defects in the posterior heel, plantar foot, and hand.
  • This technique minimizes donor site morbidity by avoiding damage to main arterial systems, enhancing patient outcomes.