A Case of Extensive Heel Degloving Injury Reconstructed with Pedicled Medial Plantar Flap and Posterior Tibial Artery Perforator Flap

DOI
  • YOKOI Takuya
    Hand and Microsurgery Center, Department of Orthopaedic Surgery, Seikeikai Hospital
  • KANESHIRO Yasunori
    Hand and Microsurgery Center, Department of Orthopaedic Surgery, Seikeikai Hospital
  • HYUN Seungho
    Department of Orthopaedic Surgery, Osaka Saiseikai Nakatsu Hospital
  • YANO Koichi
    Hand and Microsurgery Center, Department of Orthopaedic Surgery, Seikeikai Hospital
  • SAKANAKA Hideki
    Hand and Microsurgery Center, Department of Orthopaedic Surgery, Seikeikai Hospital

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Other Title
  • 有茎内側足底皮弁と後脛骨動脈穿通枝皮弁により再建した広範囲踵部デグロービング損傷の1例

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<p>　The goal of the weight-bearing plantar reconstruction is to enable the patient to wear shoes and walk without pain. It is desirable to reconstruct using tissues that can maintain durability against the shearing force associated with loading; thus, a medial plantar flap is preferable from a functional standpoint. In severe foot trauma with moderate or greater soft-tissue defect, free flap transfer is the first choice, and pedicled flap reconstruction is considered only under limited conditions. We report a case of extensive heel degloving injury in which the soft-tissue defect at the heel loading area was reconstructed with a pedicled medial plantar flap and a pedicled posterior tibial artery perforator flap, as a free flap was not an option.</p>

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