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

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. We present an unusual case where a large lipofibromatosis (5.5cm x 5c...

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Bibliographic Details
Published in:Journal of Orthopaedic Reports 2025-06, Vol.4 (2), p.100401, Article 100401
Main Authors: Teo, Dillon Christopher Yong Jie, Mahadev, Arjandas, Ashik, Mohammad Bin Zainuddin, Wong, Kenneth Pak Leung
Format: Article
Language:English
Subjects:
Calcaneum
Lipofibromatosis
Reconstruction
Resurfacing
Reverse sural artery flap
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Summary: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. 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. The reverse sural artery flap is an effective and efficient option for reconstruction following large lipofibromatosis excision in the heel and foot.
ISSN:2773-157X
2773-157X
DOI:10.1016/j.jorep.2024.100401