Optimization of the flaps in repairing tissue defects in heel weight-bearing area and reconstructing their sensory function
LI Ze-long
HUANG Bin
CAI Xi-wei
CHEN Qing-zhou
LIU Xi-bin
ZHENG Yong-jia
Abstract：Objective To explore the indications in repairing the soft tissue defects of heels weight-bearing area,and the optimization of the flaps.Methods Forty-seven patients with soft tissue defects in heel weight-bear-ing area were repaired.There were 29 males and 18 females,with age ranging from 7 to 56 years(mean,37.8 years) .Different kinds of flaps were applied for repair based on the defect sites and sizes,and the tegmentary nerve was anastomosed for reconstructing their sensory function. Results The flaps survived in all patients. Among them,1 case had superficial necrosis at 1cm distal to the flap, which was healed after several times of dressing change;1 case was found in dark red color on the free flaps,and was relieved by spasmolysis and keeping warm.All patients were followed up for 6 months to 11 years and all flaps received the sensory function without ulceration. Conclusion Repair of defects in heel weight-bearing area requires flaps with a certain thickness and reconstruction of sensory function.And different flaps should be appropriately selected,sural nerve nutritional vessel flap and sa-phenous nerve nutritional vessel flap should be used for repairing small wound,free flap and contralateral medial leg saphenous nerve flap should be used to repair huge wound.
Keywords：soft tissue defectheelflapsural nervesaphenous nerve
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 541-544 )