Abstract: Objective To explore the clinical effects of super long vascular pedicle island flap for repairing large tissue defect of heel. Methods From January 2012 to February 2014, 12 cases with large soft tissue defect of heels were treated with super long pedicle island flap. The nerve nutrient vessels of super long island flaps were designed on the calf and foot dorsal to repair the huge heel wound after rotation. And the donor wound was closed by skin graft. Results Wear-resisting transplant flap with good appearance were achieved, and no bloating and pigmentation were observed. All the patients were followed up for 6-12 months, the donor areas had no obvious secondary deformities and no complication was observed.Conclusion Once performed properly, super long vascular pedicle of island flap can provide reliable blood supply and very long graft, it is an ideal method for primary or secondary wound repair of heel.

Key words: Super long vascular pedicle, Island flap, Heel, Wound, Repair