Reconstructive Surgery & Anaplastology

ISSN - 2161-1173


Lateral Calcaneal Artery Flap: A Versatile Flap for Coverage of Posterior Heel Defects in Moribund Patients

Varun Singh Chauhan and Shobhit Gupta

Background: Soft tissue defects over posterior heel are difficult to cover especially in patient with difficult health issues under general anaesthesia.

Objective: To evaluate the efficacy of lateral calcaneal flap for posterior heel defects under local anaesthesia.

Material and methods: This case series was conducted at department of plastic surgery Dr. RML hospital & PGIMER between june 2016 to july 2017. 8 patients (5 male,3 female) having soft tissue defects over posterior heel underwent reconstruction using a Lateral calcaneal artery skin flap.

Results: All 8 flaps had good perfusion & survived completely. Skin graft over donor site had taken well in all 7 patients. Partial loss of STSG occurred in one patient which was healed spontaneously. All patients became ambulatory after 7 days.

Conclusion: LCA presents good function and aesthetical results for coverage of posterior heel defects in moribund patient and can be harvested under local anaesthesia and provide sensate & stable coverage over posterior heel.