The Cone Flap: A Fasciocutaneous Flap Option for Plantar Heel Ulcers

Plantar heel wounds are often difficult to epithelialize in a timely manner. When healing is achieved through secondary intention, the results are often fragile and prone to reulceration. The cone flap provides a surgical option to allow plantar skin coverage for these difficult-to-heal wounds. The fasciocutaneous nature of the flap provides a well-vascularized pedicle for wound coverage. Following this simple method, a durable primary closure is available to all surgeons who work with chronic foot wounds.