Efficacy for reconstruction of heel defect with medial plantar flap after large resection of malignant melanoma

[Objective] To study the efficacy of reconstruction of heel defect with medial plantar flap after large resection of malignant melanoma.[ Methods] Since 2003 to 2006,13 patients with heel malignant melanoma were treated in our department by surgical treatment.The heel defects caused by resection of melanoma were reconstructed with the medial plantar flap.Their clinical materials and follow up results were retrospectively analyzed.[Results] All grafts survived without recurrence and ulcer.Sensory function recovery of the flap was satisfactory.According to AJCC Staging system,2 were in stage I,4 were in stage II,6 in stage III,and 1 in stage IV.The 5-year overall survival rate was 100%,75%,50%,0% respectively.[Conclusion] Surgical excision remains the key treatment of melanoma.The medial plantar flap which is the first therapia for heel defect after resection of malignant melanoma can achieve good clinical efficacy.