A combined multistep reconstruction of the heel after skin tumor resection in posttraumatic chronic ulcers: a case series.

BACKGROUND

Heel reconstruction following wide resection of Marjolin ulcer represents a challenge for surgeons. Local or free flaps are usually used, but they present some disadvantages, such as donor site morbidity, high risk of necrosis, and long surgical time and hospital stay.

OBJECTIVE

To use a combined multistep protocol of heel reconstruction after wide resection of Marjolin ulcer using a biosynthetic extracellular matrix and negative wound pressure therapy.

MATERIALS AND

METHODS

Demographic, clinical, and surgical data for 4 patients treated at a single institution were retrospectively collected.

RESULTS

All patients healed with a good scar appearance and high satisfaction. No complications or tumor recurrence were observed at 12 months postoperative.

CONCLUSION

The findings of this clinical series suggest that the combined protocol described is an effective option for the resolution of these complex wounds.