Reconstruction of heel defects with a proximally based abductor hallucis muscle flap.

摘要: The main goals of reconstruction plantar defects include appropriate soft tissue coverage to facilitate weight bearing, and sufficient blood supply prevent osteomyelitis. This retrospective study presents the clinical results 11 patients who received a proximally based abductor hallucis muscle flap for calcaneal defects. mean patient age was 43 years (range, 23–69 years). Four were women 7 men. Seven non-diabetic with neurologic deficits varying etiology or had pressure ulcers after prolonged hospitalization. diabetes without neurological deficits, 6 In patients, origin dissected rotated over defect. elevated as an island in 5 patients. Postoperatively, partial loss observed 1 patient, then treated successfully fasciocutaneous flap. Two developed seroma hematoma at donor site, which resolved uneventfully surgical drainage. osteomyelitis showed no recurrence year follow-up. provides enough stability up 3 × cm.