Sural Nerve Nutritional Vessel Axial Flap for the Heel Skin Defect Coverage and Calcaneal Reconstruction

A male, Asia patient, 66-year-old, had a history of calcaneal fixation surgery for about 28 years ago because of the calcaneal fracture during a severe traffic accident. The patient reports a long-term skin defect before the right ankle with calcaneal exposure as a result of not standard treatment after surgery. Half-year ago, the patient said that the calcaneal was injured again and then with the body fluid leaked. Upon physical examination, the patient presented a 5 × 3 cm heel soft-tissue defect with a scar and calcaneal exposure (Fig. 22.1). X-ray shows calcaneus bone fracture (Fig. 22.2). The patient had neither other medical history nor drunk any immunosuppressive drugs or exposed to any other immunosuppressive factor.