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Functional and Aesthetic Outcomes of Reconstruction of Soft-Tissue Defects of the Heel with Free Flap

• 2019
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Publication Information
Authors Hussein Elgohary, MD a , ∗, Ahmed M. Nawar, MD b , Ahmed Zidan, MD c , Ahmed A. Shoulah, MD d , Mohamed T. Younes, MD
Keywords Soft-tissue defect of heel Reconstruction Free flap Functional Aesthetic outcome
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publication.type International
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Abstract
Objective: To evaluate functional and aesthetic outcomes of the reconstruction of soft-tissue defects of the heel with microsurgi- cal techniques using a free radial forearm flap and an anterolateral thigh flap. Patients and methods: The study included 25 patients, 15 males and 10 females, with a mean age of 34.3 ±10.4 years, with soft- tissue defects of the heel. Of them, 11 patients whose defects were of size between 5 and 10 cm in their largest dimension were treated using a free radial forearm flap, and 14 patients whose de- fects were of size larger than 10 cm in their largest dimension were treated using a free anterolateral thigh flap. Post-operatively, avoidance of weight-bearing and walking was required for 8 to 10 weeks. At the end of the follow-up, all pa- tients underwent functional, aesthetic and sensation evaluation in addition to assessment of patient satisfaction. ∗