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J Reconstr Microsurg 1990; 6(2): 143-149
DOI: 10.1055/s-2007-1006815
ORIGINAL ARTICLE

© 1990 by Thieme Medical Publishers, Inc.

Posterior Hindfoot Reconstruction

Lawrence B. Colen, William F. Reus III , Rami Kalus
  • Sections of Plastic and Reconstructive Surgery, Departments of Surgery, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, and University of Massachusetts Medical Center, Worcester, Massachusetts
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Publication History

Accepted for publication 1989

Publication Date:
08 March 2008 (online)

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ABSTRACT

From August 1983 through December 1988, 25 patients with complex wounds involving the posterior hindfoot underwent reconstruction of that region. The present study reviews the use of microsurgical free-tissue reconstruction in this complex anatomic area. A questionnaire was sent to all patients; 60 percent responded, with a mean postoperative period of 2.1 years. Our experience shows that complex wounds involving soft tissue, bone, tendon, and nerve may be successfully reconstructed by the judicious use of free-tissue transfer combined with standard adjunctive techniques. When flap donor tissue is carefully selected, a one-stage reconstruction without the need for contour revision should be possible. Patient satisfaction has been excellent and solidly healed wounds have been maintained.