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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Article

Reconstruction of Heel Soft Tissue Defects Using Sensate Medial Plantar Flap

by
Mihaela Pertea
1,2,
Natalia Velenciuc
1,3,
Oxana Grosu
2,
Bogdan Veliceasa
1,4,
Vladimir Poroch
1,5,* and
Sorinel Lunca
1,3
1
Grigore T. Popa University of Medicine and Pharmacy, St. Spiridon Emergency County Hospital, Iasi, Romania
2
Department of Plastic Surgery and Reconstructive Microsurgery, St. Spiridon Emergency County Hospital, Iasi, Romania
3
Department of Surgery, Regional Institute of Oncology, Iasi, Romania
4
Department of Orthopedics and Traumatology, St. Spiridon Emergency County Hospital, Iasi, Romania
5
Department of Palliative Care, Regional Institute of Oncology, Iasi, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2018, 5(2), 250-254; https://doi.org/10.22543/7674.52.P250254
Submission received: 31 July 2018 / Revised: 31 August 2018 / Accepted: 30 September 2018 / Published: 3 October 2018

Highlights

  • Reconstruction of calcaneal soft tissue defects implies a special technique, using a skin highly resistant to pressure and well-innervated.
  • Sensate medial plantar fasciocutaneous flap can be a good solution for reconstruction of such calcaneal soft parts defects.

Abstract

Introduction. Reconstruction of heel soft tissue defects represents a true challenge for any surgeon due to the particularities of this anatomical region. The tissue used to reconstruct the heel area must be resistant, innervated, and adapted to take over the body weight. Innervated medial plantar fasciocutaneous flap is one of the best solutions to cover defects at the heel level. Materials and Methods. We studied 5 patients, 4 males and one female, aged 42 to 67 years, who presented heel soft tissue defects of various etiologies. In all cases, the used reconstructive method was an insular innervated medial plantar fasciocutaneous flap. Results. Immediate and late outcomes were good. No immediate complications of necrosis type were recorded in any of the cases, and 2 years postoperatively there was no evidence of ulceration or other type of flap injury. The socio-professional reintegration of the patients was relatively rapid and their satisfaction was high. Donor area morbidity was minimal. Conclusions. Sensate medial plantar fasciocutaneous flap represents the first choice for the reconstruction of the heel soft tissue defects when patients’ local and general status allows it.
Keywords: soft tissue defect; heel; medial plantar artery; reconstruction soft tissue defect; heel; medial plantar artery; reconstruction

Share and Cite

MDPI and ACS Style

Pertea, M.; Velenciuc, N.; Grosu, O.; Veliceasa, B.; Poroch, V.; Lunca, S. Reconstruction of Heel Soft Tissue Defects Using Sensate Medial Plantar Flap. J. Mind Med. Sci. 2018, 5, 250-254. https://doi.org/10.22543/7674.52.P250254

AMA Style

Pertea M, Velenciuc N, Grosu O, Veliceasa B, Poroch V, Lunca S. Reconstruction of Heel Soft Tissue Defects Using Sensate Medial Plantar Flap. Journal of Mind and Medical Sciences. 2018; 5(2):250-254. https://doi.org/10.22543/7674.52.P250254

Chicago/Turabian Style

Pertea, Mihaela, Natalia Velenciuc, Oxana Grosu, Bogdan Veliceasa, Vladimir Poroch, and Sorinel Lunca. 2018. "Reconstruction of Heel Soft Tissue Defects Using Sensate Medial Plantar Flap" Journal of Mind and Medical Sciences 5, no. 2: 250-254. https://doi.org/10.22543/7674.52.P250254

APA Style

Pertea, M., Velenciuc, N., Grosu, O., Veliceasa, B., Poroch, V., & Lunca, S. (2018). Reconstruction of Heel Soft Tissue Defects Using Sensate Medial Plantar Flap. Journal of Mind and Medical Sciences, 5(2), 250-254. https://doi.org/10.22543/7674.52.P250254

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