Introduction: The heel has the important function of supporting the weight of the person and to propitiate the ability of walking. The lesions in this area are serious and difficult to reconstruction properly, usually implicating in long periods of internment in a hospital, high hospital costs and significant functional damages for the victims. The reconstruction of soft parts of the heel represents a challenge due to the high degree of specialization of the involved tissue and relative immobility of the surrounding tissue. Method: The lesions were classified basically in two: anterior lesions or plantar lesions and posterior lesions. The anterior lesions were rebuilt preferentially using the plantar medial flap based on the plantar medial artery and the posterior lesions was used the reverse sural flap preferentially. Results: In a total of eleven cases, eight were submitted to reconstruction with reverse sural flap and four with plantar medial flap. The lesions were in most of the cases due to car accident. Only one case was due to the neoplasic resection. Conclusion: The regional fascio-cutaneous flaps in island were shown plenty effective for the proposed use, besides they demand smaller surgical time and better relationship cost/beneficial compared to a microsurgical reconstruction.
Keywords: Calcaneus/surgery. Surgical flaps. Reconstructive surgical procedures/methods.