Reconstruction of the sole and heel and infancy in childhood followed up for more than 10 years.
We evaluated 10 patients in which the initial reconstruction of the weight-bearing area of the sole and heel was performed in infancy or childhood and which had been followed up more than 10 years. In the initial operations, a cross-leg flap was used in 5, full-thickness skin graft in 5, and split-thickness skin graft in 1 (in 1 patient, both a cross-leg flap and a full-thickness skin flap was used). Secondary reconstruction was performed using skin graft from non-weight-bearing areas in 6 patients and a cross-leg flap in 1 patient. In infancy and childhood, temporary closure of a wound by skin graft from the inguinal area or a cross-leg flap was attempted. Initial reconstruction using the non-weight-bearing area must be performed carefully in infancy and childhood.
Matsumura
H
H
Department of Plastic Surgery, Tokyo Medical College Hospital, Japan.
Makino
K
K
Watanabe
K
K
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000473:pathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000473:pathology / Q000601:surgery*; D006365:Heel / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D003668:Pressure Ulcer / Q000473:pathology / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods* / Q000473:pathology; D013524:Surgical Flaps / Q000379:methods* / Q000473:pathology; D016474:Weight-Bearing / Q000502:physiology; D014945:Wound Healing