[Degloving injuries of the soft tissues of the heel. An indication for microvascular revascularization!].
The sole of the foot has a unique soft tissue structure which allows weightbearing. There is no adequate reconstructive method for soft tissue defects of the weightbearing sole. Soft tissue reconstructions in this area frequently develop stress lesions. After degloving injuries of the heel, the unique vascularisation of the sole may lead to ischemia and consecutive soft tissue necrosis. Revascularisation of degloved heel pads e.g. by reconstruction of the medial calcaneal branch of the posterior tibial artery is recommended as a salvage procedure. In the primary treatment of extremity injuries with severe soft tissue damage a plastic surgeon should be involved.
Graf
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Abteilung für Plastische und Wiederherstellungschirurgie, Technischen Universität, Klinikum rechts der Isar, München.
Biemer
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E
D000328:Adult; D001158:Arteries / Q000601:surgery; D005260:Female; D006365:Heel / Q000098:blood supply / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014945:Wound Healing / Q000502:physiology
Skelettierungsverletzungen der Fersenweichteile. Eine Indikation zur mikrochirurgischen Revascularisierung!