The weight bearing and friction bearing skin of the foot differs significantly from the skin in other parts and best developed over the metatarsal heads and the lateral aspect of the sole and the heel . skin losses in the heel continue to present a problem in coverage.
Most of the literatue on the subject of resurfacing the weight bearing part of the foot consists of papars describing new techniques such as local flap, cross foot flap, reverse derma - fat flap, innervated full thickness skin graft, free groin flap, free groin flap, free dorsalis flap, and muscle transposition flap with skin graft Recently, for the eight bearing area coverage, the unit may be elevated as an island neurosensory musculocutaneous unit from the nonweight bearing to the weight bearing surface of the heel. The flexor digitorum brevis island myocutaneous flap is a safe and reliable unit.
Authors report a case of large heel defect reconstruction by flexor digitorum brevis island myocutaneous flap with a good result.
|