Abstract
This chapter describes the management of a 34-year-old female with recurrent breakdown of her left heel. She has a history of myelomeningocele which was closed at birth. She is in fact continent and can walk with minimal assistance. She is otherwise a healthy individual. The left heel developed an ulcer approximately 5 years ago and has had several attempts at bone debridement and closure with local tissue without success. When she presented, she had a chronic wound on the left heel and protective sensation. There was chronic hyperkeratotic tissue around the wound and exposed granulating bone in the base. Imaging did not show strong evidence of osteomyelitis of the calcaneus. The options for reconstruction included local flaps versus microsurgical free-tissue transfer. These were discussed with the patient, and it was felt best to perform a medial plantar artery flap. This chapter describes the thought processes involved in this decision and how this wound was successfully managed with this flap.
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Bhadkamkar, M.A., Pederson, W.C. (2020). Reconstruction of Plantar Heel Defect. In: Clinical Scenarios in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-94191-2_97-1
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DOI: https://doi.org/10.1007/978-3-319-94191-2_97-1
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