title: Posterior hindfoot reconstruction.
abstract: From August 1983 through December 1988, 25 patients with complex wounds involving the posterior hindfoot underwent reconstruction of that region. The present study reviews the use of microsurgical free-tissue reconstruction in this complex anatomic area. A questionnaire was sent to all patients; 60 percent responded, with a mean postoperative period of 2.1 years. Our experience shows that complex wounds involving soft tissue, bone, tendon, and nerve may be successfully reconstructed by the judicious use of free-tissue transfer combined with standard adjunctive techniques. When flap donor tissue is carefully selected, a one-stage reconstruction without the need for contour revision should be possible. Patient satisfaction has been excellent and solidly healed wounds have been maintained.
authors.affiliation: Department of Surgery, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire 03756.
authors.forename: L B
authors.initials: LB
authors.lastname: Colen
authors.forename: W F
authors.initials: WF
authors.lastname: Reus
authors.forename: R
authors.initials: R
authors.lastname: Kalus
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005534:Foot Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006365:Heel / Q000033:anatomy & histology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D013524:Surgical Flaps / Q000009:adverse effects / Q000379:methods*