Flaps in reconstruction of the lateral calcaneal region: case series and treatment algorithm for soft-tissue complications of the lateral approach for calcaneal fractures introduction: Calcaneal fractures are the most frequent tarsal bone fracture. A high complication rate has been reported for the L-shaped lateral calcaneus surgical approach. Coverage of the resulting defect can be challenging. The aim of this article is to report a case series and propose a new treatment algorithm. materials and methods: Between January 2011 and December 2013 ninety-five patients underwent a close calcaneus fracture surgery by lateral approach. Ten patients suffered from surgical wound complications. Defects were classified as small (< 2 cm), medium (2-5 cm) or big size (> 5 cm). results: Small size defects were covered with local fasciocutaneous advancement and rotation flaps. Medium size defect were covered either with a distally based sural neurocutaneous flap or propeller flap based on peroneal artery perforators. A free flap was used in the big size defect presented. Mean follow-up was 16 month (range 5-41 month). Stable coverage was achieved in all cases and no revision surgery was needed. conclusions: Soft-tissue complications associated to lateral approach for calcaneal fractures needs an ordered approach. The algorithm presented including propeller perforator flaps proved to be safe and useful.Key words: Lower limb reconstruction, propeller flap, perforator flap.resumen introducción: Las fracturas de calcáneo son las fracturas más frecuentes de los huesos del tarso. Diversos estudios han mostrado alta tasa de complicaciones del abordaje que requieren cobertura. El objetivo principal es presentar un nuevo algoritmo de tratamiento para estos defectos de cobertura. material y Agosto; artículO de inVestigaciÓn *Recibido el 3 de noviembre de 2014 y aceptado para publicación el 30 de noviembre de 2014.
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