Abstract
The lower limbs defects reconstructions are complex and impose a challenge for the reconstructive surgeon. The use of local fasciocutaneous flaps can be helpful when dealing with these defects. We report the case of two patients who underwent calcaneal reconstruction surgery using a medial plantar artery flap after the resection of acral melanoma. This flap provides a resistant and long-lasting tissue with a neurovascular sparing technique. The preserved sensitivity contributes to good long-term outcomes. The neurovascular flaps, such as medial plantar artery flap, promote good adaptation and healing regarding foot and heel defects.