title: [Surgical intervention in the treatment of skin defect of hell].
abstract: OBJECTIVE
  To investigate the efficacy of different flaps in the treatment of skin defect of hell.
  
  
  METHODS
  Forty-six patients with skin defect of hell were adopted in this study. There were 39 males and 7 females, 29 years old in average. Six different flaps were applied in the reconstructive operation, 14 plantaris medialis flaps, 4 flexor digitorum brevis muscle flaps, 3 abductor hallucis flaps, 7 latissimus dorsi flaps, 16 distal medialis flaps of leg pedicled with the cutaneous branch of posterior fibial artery, 2 foot dorsum flaps.
  
  
  RESULTS
  All the flaps survived, primary healing of the wound in 45 cases and secondary healing in 1 case. Followed up for 3 months to 4 years, 43 patients obtained good flap sensation, the function of weight bearing were satisfied in 43 patients.
  
  
  CONCLUSIONS
  The six different flaps should be applied according to patient's condition individually. The sensation of flap is very important to the function of weight bearing.
authors.affiliation: Department of Orthopedic Surgery, Norman Bethune National Peace Hospital, Shijiazhuang, Hebei, P. R. China 050082.
authors.forename: J L
authors.initials: JL
authors.lastname: Liu
authors.forename: W P
authors.initials: WP
authors.lastname: Zhang
authors.forename: Z C
authors.initials: ZC
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000601:surgery*; D006085:Graft Survival; D006365:Heel / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps