2022 Volume 35 Issue 2 Pages 35-39
The goal of the weight-bearing plantar reconstruction is to enable the patient to wear shoes and walk without pain. It is desirable to reconstruct using tissues that can maintain durability against the shearing force associated with loading; thus, a medial plantar flap is preferable from a functional standpoint. In severe foot trauma with moderate or greater soft-tissue defect, free flap transfer is the first choice, and pedicled flap reconstruction is considered only under limited conditions. We report a case of extensive heel degloving injury in which the soft-tissue defect at the heel loading area was reconstructed with a pedicled medial plantar flap and a pedicled posterior tibial artery perforator flap, as a free flap was not an option.
