A comparison of transpositional neurovascular skin flaps for reconstruction of diabetic heel ulcerations.

The diabetic heel ulcer is a common, yet difficult, entity to manage. Conservative and surgical treatments are frequently unsuccessful. Transpositional neurovascular skin flaps offer a relatively new and effective method for reconstruction of this defect. The medial plantar, dorsalis pedis, and lateral calcaneal flaps are discussed and compared for use in the diabetic patient with heel ulceration.