Stress ulcers after heel reconstruction using free microvascular flap comparing with reverse supramaleolar fasciocutaneous flap.

INTRODUCTION the lower extremity requires an understanding of the ways in which such reconstruction differs from that of the upper extremity. The weight-bearing requirements are the most obvious difference. The difference between the cutaneous coverage on the plantar surface on the foot and that on the dorsum has important implication for reconstruction of defects in these areas. There are few operative techniques for reconstruction of the posttraumatic heel defects, in our study we have been compared two techniques, free microvascular flap and reverse supramaleolar fasciocutaneous flap. AIM the aim of the study is evaluation of the appearance of stress ulcers as late complications of the heel reconstruction, comparing these two methods. MATERIAL AND METHODS in testing were included 50 patients with posttraumatic heel defects, of different etiology, divided in two groups. The first group of 25 patients with posttraumatic heel defects has been treated by microvascular free flap. The other group of 25 patients with posttraumatic heel defects has been treated by reverse supramaleolar fasciocutaneous flap. DISCUSSION according to our results, there are significant differences between proportions of patients with and without of late complications of free microvascular flap comparing with reverse supramaleolar fasciocutaneous flap. CONCLUSION stress ulcers, as result of continuous pressure on weight-bearing area, have been evaluated by using both operative methods. Reverse supramaleolar fasciocutaneous flap is good alternative method for heel reconstruction.