Abstract

The article presents the results of the first stage treatment of 32 patients with long-term non-healing defects of lower leg and heel soft tissues. There were 14 women and 18 men. The patients age ranged from 28 to 65 years old. We used sural fasciocutaneous flap on a distal base to replace defects in all patients. All flaps survived and provided good functional results of the restored skin of the foot and lower leg. In all cases, the sural nerve was included in the flap. In three cases, marginal ischemia of the flap was observed. The use of surgical interventions according to the developed method for long-term non-healing defects of lower leg and heel soft tissues made it possible to achieve complete injury healing.

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