The soft tissue defect of the heel and the lateral malleolus region of foot and heel continues to be difficult for reconstructive surgeons due to limited available soft tissue, the flap size and the range of vascular pedicle, or the requirement for microsurgical equipment. Several techniques that have advantages and disadvantages have been reported in the literature. The superficial peroneal neurocutaneous island flap offers versatile and appropriate cover at this region with minimal morbidity and maximal reconstructive capacity. In this paper, an experience with the reversed superficial peroneal neurocutaneous island flap in reconstruction of a lateral heel defect was presented.
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