[Heel deep tissue defects were repaired by perineal tendofascial flap conjoined with adipofascial flap].
OBJECTIVE
To explore a new method and estimate its outcome to repair deep heel tissue injuries with local tissue flap.


METHODS
At lower cnemis, a fat fascial flap combined with perineal tendofascial flap were designed and elevated between the lateral malleolars blank, the largest area is 6 cm x 13 cm, which were transplanted to cover naked calcaneal tendon and calcaneal bone, full-thickness free skin graft or middle-thickness free skin graft were grafted on flap.


RESULTS
6 patients suffered from heel tissue defects had been treated from January 2004 to November 2005. The smallest area was 3.5 cm x 4.0 cm and the largest was 4 cm x 6 cm. All fascial flaps and free skin grafts were successfully survived after operations. All patients were followed up 3-23 months, the operation areas were healed, the functions and configurations were satisfied.


CONCLUSIONS
Perineal tendofascial flap conjoined with adipofasical flap and free skin graft are used to repair heel deep tissue defects, which is a handy, dependable way for repairing of the small tissue defects of the lower third of leg and heel.
Ning
Jin-long
JL
Department of Plastic Surgery, the First Affiliated Hospital of An Hui Medical University, Hefei 230022, China.
Zhang
Lin
L
Li
Xiao-jing
XJ
Zhu
Fei
F
Gao
Xue-hong
XH
Ding
Hao
H
Hou
Tuan-jie
TJ
Yang
Hui-qiang
HQ
Xia
Chi
C
Song
Hai-bing
HB
D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery*; D000328:Adult; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005360:Fibula / Q000601:surgery; D006365:Heel / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps