Microsurgical repair of heel and sole defects

Since 1984, microsurgical technique has been applied to reconstruct and repair the defects of heel and sole in 21 cases by replantation and implantation. Among them, 12 cases were heel defects, 3 cases were fore-sole defects and 6 cases were complete sole defects. Emergency repair and reconstruction has been performed in 13 cases and late reconstruction in 8 cases. All flaps survived. Our main experiences were: 1. All sorts of defected tissues should be reconstructed at the same time. 2. The selection of donor area should be according to the principles:lateral or medial leg flap should be used for moderate defects; lateral thoracic flap for large defects; and the flap of center sole for small defects. 3. Debridement of focus should be done thoroughly.