Reconstruction of Calcaneal Region/Lateral Plantar Region

Basic Principles

The tissue required for reconstruction of the calcaneal region is thick and must be able to withstand weight applied. It is preferable to have sensory function, but it is not necessary to pro-actively reconstruct sensory function, so tissue that can obtain protective sensation easily is selected.

For this reason the medial plantar flap is the first choice. Only if for some reason it is not possible to obtain the medial plantar flap from the affected foot or from the healthy foot either, another flap such as an abdominal perforator flap should be examined.

Whichever flap is selected, guidance must be given for long term use of an arch support splint.