A Rare Case of Bilateral Heel Sore Flap Cover

Different flaps are available for heel reconstruction, including medial plantar flap involving the medial plantar nerve and its cutaneous branches, which may result to postoperative hyperesthesia and dual sensation.1 Full-thickness defects to the plantar surface of the foot are still a challenge in plastic surgery. Skin grafts and many flap procedures were used to resurface this site, but not all achieve a return to normal foot function. For the heel plantar surface, medial plantar flap has been used, however, this method leaves a donor site, which requires skin grafting. The modification of the medial plantar flap into a V-Y configuration has been reported allowing the direct closure of the donor site.2 Here, a rare case of bilateral heel sores following long standing bed-ridden state has been reported that was successfully treated with bilateral reverse sural artery flaps. Although reverse sural artery flap is commonly used for heel cover, no case of bilateral heel pad cover at same sitting has been reported.