ABSTRACT
Two similar patients, with extensive defects of the heel treated by free tissue transfer
of the contra-lateral instep, are discussed. Durable coverage and near normal static
two-point discrimination were obtained in both. Improved results are attributed to
the proximal interfascicular dissection of the medial plantar nerve and implantation
into the posterior tibial nerve as the recipient. This flap may be transferred with
only relatively minor donor-site complications. The contralateral instep free flap
provides an ideal, durable, and sensate heel replacement, particularly when local
tissues are unavailable.
