Introduction- Lateral calcaneal artery flap is a reliable option for lateral calcaneal and posterior heel defects reconstruction.
Materials and Method-We conducted a prospective study using lateral calcaneal artery flap to cover posterior heel defects from January 2017 to October 2020 in the Department of Burn and Plastic Surgery, SMT S.C.L. Hospital, Ahmedabad to observe the clinical outcome of lateral calcaneal artery flap. A total number of 20 soft tissue defects in posterior heel with and without exposed Achilles’ tendon or calcaneum due to different causes were reconstructed with lateral calcaneal artery flap.
Results-All twenty flaps survived completely without any breakdown of the skin, even after regular wearing of shoes. The flap donor sites were grafted with split-thickness skin grafts in all cases. Partial graft loss was noted in single patient, which eventually healed with dressing. Our results were satisfactory in terms of adequate coverage which is functionally and aesthetically good.
Conclusion-The lateral calcaneal artery flap can be used safely to provide sensory skin coverage in posterior heel defects of small size.
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