Heel reconstruction with parallel fibular osteoseptocutaneous flap.

Reconstruction of heel defects can be challenging and requires careful consideration in restoring both the functional and aesthetic deficit. This study assessed the use of parallel fibular osteoseptocutaneous flap to repair composite heel defects. Follow-up of the 4 patients included in this study ranged from 24 months to 3 years after their operation. The flap survival rate was 100% in all patients, with good coverage of the heel defects. Postoperative complication was one -superficial wound infection. Union of the graft with the host bone was achieved in all patients at an average of 6 months (range : 5-10 m/onths). The parallel fibular osteoseptocutaneous flap is thus a reliable means of reconstruction of composite bone and soft-tissue -defect in the heel region.