Calcaneal lipofibromatosis reconstructed with reverse sural artery flap: A case report

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Abstract

Background

Lipofibromatosis is a very rare benign soft tissue tumor, almost exclusive to the pediatric population and which is most commonly found in the distal limbs. They are typically treated with a wide local excision and simple closure.

Case report

We present an unusual case where a large lipofibromatosis (5.5cm x 5cm) in a 4-month-old infant necessitated tissue reconstruction. Furthermore, the less common site of the lipofibromatosis over the calcaneum presented additional considerations pertaining to weight-bearing. We performed a reverse sural artery flap for the patient with favorable outcomes.

Conclusion

The reverse sural artery flap is an effective and efficient option for reconstruction following large lipofibromatosis excision in the heel and foot.

用反向硬膜动脉皮瓣重建钙骨脂纤维瘤:病例报告
背景唇纤维瘤病是一种非常罕见的良性软组织肿瘤,几乎是儿童的专利,最常见于四肢远端。病例报告 我们报告了一个不寻常的病例,一名 4 个月大的婴儿因患巨大的唇纤维瘤(5.5 厘米 x 5 厘米)而需要进行组织重建。此外,由于脂肪纤维瘤较少见地发生在小腿骨上,因此需要额外考虑负重问题。结论反向腓肠肌皮瓣是足跟大面积脂肪纤维瘤切除术后重建组织的有效方法。
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