plasurВопросы реконструктивной и пластической хирургииIssues of Reconstructive and Plastic Surgery1814-1471АНО "НИИ микрохирургии"10.52581/1814-1471/96/02plasur-462Research ArticleПЛАСТИЧЕСКАЯ ХИРУРГИЯPLASTIC SURGERYРеконструкция подошвенной поверхности стопы при субтотальном дефекте: клинический случайReconstruction of the plantar area with extended defect: a clinical casehttps://orcid.org/0009-0005-2038-8887БайтингерА. В.BaytingerA. V.

Байтингер Андрей Владимирович – канд. мед. наук, пластический хирург

634063, г. Томск, ул. Ивана Черных, ул. 96

Andrey V. Baytinger, Cand. Med. sci., plastic surgeon

96, Ivan Chernykh st., Tomsk, 634063

drbaitinger@gmail.comhttps://orcid.org/0000-0002-7754-7472БайтингерВ. Ф.BaytingerV. F.

Байтингер Владимир Фёдорович – д-р мед. наук, профессор, президент

Scopus: 57190940056

ResearcherID: S-6920-2016 

634063, г. Томск, ул. Ивана Черных, ул. 96

Vladimir F. Baytinger, Dr. Med. sci., Professor, President 

96, Ivan Chernykh st., Tomsk, 634063

baitinger@mail.tomsknet.ruhttps://orcid.org/0000-0002-0850-6140СеляниновК. В.SelianinovK. V.

Селянинов Константин Владимирович – д-р мед. наук, доцент, зам. директора по лечебной работе; профессор кафедры анатомии человека с курсом оперативной хирургии и топографической анатомии  

Scopus: 57190933752

Researcher ID: S-9886-2019 

634063, г. Томск, ул. Ивана Черных, д. 96; 634050, г. Томск, ул. Московский тракт, д. 2

Konstantin V. Selianinov, Dr. Med. sci., Associate Professor, deputy Director for medical wor; Professor of the Department of Human Anatomy with a Course in Operative Surgery and Topographic Anatomy

Scopus: 57190933752

Researcher ID: S-9886-2019

96, Ivan Chernykh st., Tomsk, 634063; 2, Moskovsky tract st., Tomsk, 634050

kostya-ivanow@yandex.ruhttps://orcid.org/0009-0004-6969-2671МагайЮ. В.MagayYu. V.

Магай Юрий Вадимович – пластический хирург; лаборант кафедры анатомии человека с курсом оперативной хирургии и топографической анатомии

634063, г. Томск, ул. Ивана Черных, д. 96; 634050, г. Томск, ул. Московский тракт, д. 2

Yury V. Magay, surgeon; laboratory assistant, the Department of Human Anatomy with a Course in Operative Surgery and Topographic Anatomy

96, Ivan Chernykh st., Tomsk, 634063; 2, Moskovsky tract st., Tomsk, 634050

y.magay@mail.ruhttps://orcid.org/0009-0005-8857-6729СтепановМ. Ю.StepanovM. Yu.

Степанов Михаил Юрьевич – врач травматолог-ортопед 

634063, г. Томск, ул. Ивана Черных, д. 96

Mikhail Yu. Stepanov, traumatologist-orthopedist

96, Ivan Chernykh st., Tomsk, 634063

Stepanov_16.03@mail.ruhttps://orcid.org/0009-0000-9838-9170ЛепуновВ. В.LepunovV. V.

Лепунов Вадим Валерьевич – врач травматолог-ортопед 

634063, г. Томск, ул. Ивана Черных, д. 96

Vadim V. Lepunov, traumatologist-orthopedist

96, Ivan Chernykh st., Tomsk, 634063

lepunov-vadim@mail.ruhttps://orcid.org/0009-0007-4843-6785ЛоскутоваА. А.LoskutovaA. A.

Лоскутова Анна Анатольевна – врач травматолог-ортопед 

634063, г. Томск, ул. Ивана Черных, д. 96

Anna A. Loskutova, traumatologist-orthopedist

96, Ivan Chernykh st., Tomsk, 634063

doc.loskutova@gmail.comМилешинВ. Г.MileshinV. G.

Милешин Вадим Геннадьевич – зав. отделением общей патологии №1

634063, г. Томск, ул. Ивана Черных, д. 96, стр. 9

Vadim G. Mileshin, head of the Department of General Pathology No. 1

bld. 9, 96, Ivan Chernykh st., Tomsk, 634063

mileshin.vadim2018@yandex.ruФоминыхЕ. А.FominykhE. A.

Фоминых Егор Александрович – врач травматолог-ортопед 

614107, г. Пермь, ул. КИМ, д. 2

Egor A. Fominykh, traumatologist-orthopedist

2, KIM st., Perm, 614107

egor_fom@mail.ruНИИ микрохирургииРоссияInstitute of MicrosurgeryRussian FederationНИИ микрохирургии; Сибирский государственный медицинский университетРоссияInstitute of Microsurgery; Siberian State Medical UniversityRussian FederationПатологоанатомическое бюроРоссияPathology BureauRussian FederationГородская клиническая больница № 4РоссияMunicipal Clinical Hospital No. 4Russian Federation2026260420262911725Copyright © Байтингер А.В., Байтингер В.Ф., Селянинов К.В., Магай Ю.В., Степанов М.Ю., Лепунов В.В., Лоскутова А.А., Милешин В.Г., Фоминых Е.А., 20262026Байтингер А.В., Байтингер В.Ф., Селянинов К.В., Магай Ю.В., Степанов М.Ю., Лепунов В.В., Лоскутова А.А., Милешин В.Г., Фоминых Е.А.Baytinger A.V., Baytinger V.F., Selianinov K.V., Magay Y.V., Stepanov M.Y., Lepunov V.V., Loskutova A.A., Mileshin V.G., Fominykh E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://plasur.elpub.ru/jour/article/view/462

Замещение обширных дефектов подошвенной поверхности стопы остается довольной сложной задачей для реконструктивного хирурга. В статье представлен клинический случай лечения и реабилитации пациента 50 лет с обширным дефектом кожных покровов подошвенной поверхности стопы, полученным в результате наезда погрузчика. После проведенной некрэктомии и оценки размеров дефекта было выполнено закрытие раны: пересадка медиального плантарного лоскута с контрлатеральной конечности в функционально значимую область пятки, пластика неопорной части стопы аутодермотрансплантатами. В состав медиального плантарного лоскута был включен медиальный подошвенный нерв для одномоментной реиннервации лоскута.

Reconstruction of extensive skin defects in the plantar region of the foot continues to be a challenging task for surgeons. This article describes the case of treatment and rehabilitation of a 50-year-old patient who sustained an extensive injury in the plantar area after being hit by a loading truck. After performing a neurectomy and measure the size of the defect, the wound was covered by transplanting a medial plantar flap from the contralateral foot to the weightbearing area of the heel, and the remaining non-weight-bearing area was covered with autodermal grafts. The medial plantar flap was harvested with branches of the medial plantar nerve for simultaneous reinnervation of the flap.

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The authors declare that there are no conflicts of interest present.