Coverage of heel and sole defects: a new subfascial arterialized flap.

Abstract:

:Defects of the heel and sole represent difficult reconstructive problems in terms of tissue availability and postoperative morbidity. Although local flaps offer the optimal type of coverage, their application has been restricted to defects of limited size. A study of the plantar skin and fascia, as well as its neurovascular supply, was undertaken in cadavers. Mobility of local flaps is greatest with a narrow pedicle. Dissection deep to the plantar fascia allows the inclusion of the medial or lateral plantar nerve and artery with the flap, thereby allowing considerably mobility while preserving vascularity and sensibility. Several variations of the flap are presented with clinical examples.

journal_name

Plast Reconstr Surg

authors

Reiffel RS,McCarthy JG

doi

10.1097/00006534-198008000-00014

subject

Has Abstract

pub_date

1980-08-01 00:00:00

pages

250-60

issue

2

eissn

0032-1052

issn

1529-4242

journal_volume

66

pub_type

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