Sensory reinnervation in microsurgical reconstruction of the heel

Plastic and Reconstructive Surgery
K N ChangH J Buncke

Abstract

Six sensory reinnervation techniques were carried out in 10 patients who underwent reconstruction of the weight-bearing surface of the heel by microsurgical free-tissue transfer. The techniques include the use of neurovascular island flaps, neurosensory flaps, sensory nerve grafts to skin flaps, coaptation of the sensory nerve to the motor nerve of the muscle flaps, direct sensory nerve transfer, and sensory nerve graft transfer. In all patients, some sensation developed, characterized by sensation to light touch, to dull objects, to pinprick, to pain, and to tickling. Three patients developed the ability to distinguish sharp from dull objects and the sensation of pain. The remaining seven had the sensation of touch to various mechanical stimuli. In nine patients, the sensation is located in the weight-bearing surface of the reconstructed heel. Five patients bear weight on the reconstructed surface at least 6 hours per day. Three participate actively in sports. Split-thickness skin graft-muscle flaps were more prone to breakdown than skin flaps. Full-thickness skin flaps appear necessary for the production of pain sensation and the more discriminating sensations. Preliminary results suggest a functional benefit after sensory re...Continue Reading

Citations

Sep 4, 1998·Microsurgery·N SelmanpakogluM Demirogullari
Mar 7, 2000·Microsurgery·M SiemionowG Lister
Jan 1, 1995·Microsurgery·H J Buncke
Feb 1, 1997·Plastic and Reconstructive Surgery·W W ShawC A Mersmann
Nov 12, 1998·Plastic and Reconstructive Surgery·N Weinzweig, B W Davies
Aug 18, 2000·Plastic and Reconstructive Surgery·E DelayR Lopez
Apr 17, 2001·Plastic and Reconstructive Surgery·C E ButlerJ J Pribaz
Jun 23, 2001·Plastic and Reconstructive Surgery·Y HattoriC T Lan
Jun 5, 2002·Plastic and Reconstructive Surgery·Fabio SantanelliNicolò Scuderi
Jun 10, 2003·Plastic and Reconstructive Surgery·Ahmet SönmezAyhan Numanoğlu
Jan 25, 2006·Annals of Plastic Surgery·Vengadessin Mourougayan
Nov 6, 2007·American Journal of Otolaryngology·Raphael CiumanPhilipp Dost
Jun 24, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Suk Joon OhChul Hoon Chung
May 6, 2008·Plastic and Reconstructive Surgery·Rudolf F BunticCharles K Lee
Nov 2, 2018·Journal of Plastic Surgery and Hand Surgery·Steven D KozuskoPetros Konofaos
Jun 26, 2010·Journal of Surgical Oncology·Jing LiZhi-Gang Wu
Feb 20, 2008·Acta Orthopaedica·Shahryar NoordinPervaiz Hashmi
Feb 1, 1994·Acta Orthopaedica Scandinavica·A ReigstadT Husby
Feb 28, 2007·Microsurgery·Oliver ScheuflerGerhard Pierer
Jul 6, 2000·British Journal of Plastic Surgery·M BayramiçliB Herschman
Apr 1, 1997·British Journal of Plastic Surgery·Z Potparić, N Rajacić
Dec 1, 1995·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·F KatouH Nagura
Aug 1, 1990·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·T J HoppenreijsJ J Manni
Apr 3, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ramazan Erkin UnlüOmer Sensöz
Dec 17, 2008·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Ramzi MoucharafiehBishara Atiyeh
Mar 2, 2010·Foot and Ankle Clinics·Martin F BaechlerBarry D Martin

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