Introduction. Melanoma is the most common malignant neoplasm of the foot. The foot is a difficult region for surgical reconstruction in advanced stages of the neoplasms. In our opinion, the island reverse fascio-cutaneous flap remains a safe and versatile technique for reconstruction of this region’s defects.
Case presentation. In July 2020, a 63-year-old man presented to our clinic with a large, infected lesion on the heel, which was suspected as malignant melanoma. Under these circumstances, anticipating that a large defect would be created after the wide excision of the neoplasm, accompanied by osteotomy of the calcaneal tuberosity, we proposed the reconstruction of the heel with the island reverses sural flap, as a safe and resistant flap in this region. The procedure was successful and after 5 days the patient was transferred for further treatment to the Oncology Department.
Conclusions. The reverse sural flap is safe in the reconstruction of the heel even in infected, aggressive malignant neoplasms. This flap is resistant for covering such regions, which are stressed under considerable pressure.
Keywords: calcaneal melanoma, reverse sural flap, superficial sural artery, heel soft tissues reconstruction.
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