Microsurgical reconstruction of small soft tissue defects on the lateral side of the calcaneal region

Soft tissue defects of the ankle are a challenging problem. Local flaps have several disadvantages because of functional and/or cosmetic problems. Free flaps, by nature, allow a greater choice of donor sites and therefore minimize problems resulting from local flap harvesting. Passing the vascular pedicle between the tibia and the Achilles tendon for anastomoses on the posterior tibial vessels can maintain satisfactory ankle contour. Three cases of free flap reconstruction of the lateral aspect of the calcaneal region are presented and the surgical approach is detailed. All the patients were able to wear normal shoes after the reconstruction.SCOPUS: ar.j