作者: Alper Burak Uslu , Ramazan Erkin Ünlü
关键词: Medicine 、 Heel 、 Tendon 、 Bipedicled flap 、 Surgery 、 Heel region 、 Achilles tendon 、 Salvage procedure 、 Vascular disease
摘要: Reconstruction of the heel region poses great challenge to plastic surgeons not only due calcaneal bone lying just deep subdermal fat pad but also easily exposed Achilles tendon. In order achieve permanent closure defect, or tendon-or both-should be covered with durable, preferably sensate, well-vascularized, thin skin flaps. Even though fasciocutaneous free flaps remain gold standard in reconstruction defects tendon, a significant number these patients are older individuals multiple comorbidities such as diabetes mellitus, hypertension, atherosclerosis, and peripheral vascular disease. this study, clinic series consisting 6 (1 female, 5 males), we present new technique bipedicled flap safe, reliable, efficient reconstructive modality treatment cases where other more sophisticated options either feasible have failed. Achieving complete all patients, proves successful salvage procedure defects.