Oon Zhi Sing, Kow Ren Yi, Ahmad Alwi Akmal Azim, Ayeop Mohd Adham Shah, Low Chooi Leng, Che Ahmad Aminudin
Department of Orthopedics, Queen Elizabeth Hospital, Kota Kinabalu, MYS.
Department of Orthopedics, Traumatology, and Rehabilitation, International Islamic University Malaysia, Kuantan, MYS.
Cureus. 2023 Jul 13;15(7):e41844. doi: 10.7759/cureus.41844. eCollection 2023 Jul.
The heel and sole possess unique anatomical characteristics that serve a weight-bearing and shock-absorbing function. The heel is particularly vital, as any defects in this area can lead to gait instability. Reconstructing a heel defect presents challenges, as the donor flap must be durable enough to withstand high force loads while also providing protective sensation. Recently, the medial plantar artery flap has been successfully employed for the reconstruction of defective heel pads. This flap offers glabrous skin capable of weight transmission and intact protective sensation. In this report, we present two cases of heel pad loss secondary to chronic diabetic complications and trauma, respectively, which were treated with medial plantar artery flap reconstruction. Both cases were successfully treated, and they showed a good functional outcome.
足跟和足底具有独特的解剖学特征，起到负重和减震的作用。足跟尤为重要，因为该区域的任何缺陷都可能导致步态不稳。重建足跟缺陷存在挑战，因为供体皮瓣必须足够耐用，以承受高负荷力，同时还要提供保护性感觉。最近，内侧足底动脉皮瓣已成功用于重建足跟垫缺陷。该皮瓣提供了能够进行重量传递且具有完整保护性感觉的无毛皮肤。在本报告中，我们分别介绍了两例因慢性糖尿病并发症和创伤导致足跟垫缺失的病例，均采用内侧足底动脉皮瓣重建进行治疗。两例均成功治愈，功能恢复良好。
