Objective To investigate the clinical efficacy of the distal pedicle sural neurotrophic vascular flap in re-pairing soft tissue defects of the heel.Methods The twenty-five cases with heel soft tissue defects were repaired with distal pedicled sural neurocutaneous vascular flaps,the flaps were transferred to the recipient area through open chan-nel.The defect area ranged from 4.2 cm×3.6 cm to 9.5 cm×7.0 cm,the flaps designed size was 5.0 cm×4.2 cm～11.5 cm×8.4 cm.Results All patients were followed up for 11～38 months.All flaps survived and the donor site healed in one-stage.At 3 months postoperation,the colour was good,and the texture was soft,no effect on normal shoe wearing,no friction ulcer,with satisfactory appearances.Conclusions The distal pedical sural neurotrophic vas-cular flaps are used to repair the soft tissue defect of the heel,which have the advantages of relatively constant anato-my,simple surgical operation,no sacrifice of the main artery and easy survival of the flap.
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