title: [Application of the plantar horn shaped fasciocutaneous perforator flaps for the reconstruction of the defects on heel and fore plantar].
abstract: OBJECTIVE
  To investigate the application of the plantar horn shaped fasciocutaneous perforator flaps for the reconstruction of the defects on heel and fore plantar.
  
  
  METHODS
  The proximal end of the plantar fasciocutaneous perforator flaps were at the edge of defects. The deep fascia was cut off at the both sides of flaps. The plantar fascia should be included into the flaps. Then the flaps were rotated to cover the defects, containing two or three perforators. If necessary, the original supplying vessels could be cut off to facilitate the advancement of flaps.
  
  
  RESULTS
  From Jan. 2010 to Oct. 2012, 7 cases with plantar defects were treated with the horn shaped perforator flaps. The defects size ranged from 1.5 cm x 2.0 cm to 4.0 cm x5. 0 cm with the size of the flaps ranging from 7 cm x 3 cm to 13 cm x 7 cm. All the flaps survived completely with primary healing both on donor and recipient sites. The flap color, texture, function and appearance were satisfactory during the follow-up period of 3-24 months.
  
  
  CONCLUSIONS
  The plantar horn shaped perforator flap can reconstruct the defects at plantar weight-bearing area with the similar thick skin tissue, which facilitates the functional reconstruction. No skin graft is necessary for the defect at donor site.
authors.affiliation: Department of Plastic Surgery, First Affiliated Hospital of An Hui Medical University, Hefei 230022, China.
authors.forename: Xin-yi
authors.initials: XY
authors.lastname: Li
authors.affiliation: Department of Plastic Surgery, First Affiliated Hospital of An Hui Medical University, Hefei 230022, China.
authors.forename: Xiao-jing
authors.initials: XJ
authors.lastname: Li
authors.affiliation: Department of Plastic Surgery, First Affiliated Hospital of An Hui Medical University, Hefei 230022, China.
authors.forename: Jin-long
authors.initials: JL
authors.lastname: Ning
authors.affiliation: Department of Plastic Surgery, First Affiliated Hospital of An Hui Medical University, Hefei 230022, China.
authors.forename: Zong-bao
authors.initials: ZB
authors.lastname: Zuo
mesh_terms: D000328:Adult; D005260:Female; D005534:Foot Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061525:Perforator Flap; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery