The medial hemisoleus muscle flap, based either proximally or distally, can be used to reconstruct soft-tissue defects of the distal third tibial wound with attention to preserve as many major perforators from the posterior tibial vessels to the flap as possible while allowing adequate arc of rotation or turnover of the flap to cover the exposed tibia or hardware. The author believes that the flap is reliable and should be considered for soft-tissue coverage of a sizable tibial wound in the distal third of the leg, especially when a free tissue transfer is not an option, with good or excellent reconstructive and cosmetic outcomes. Meticulous flap elevation with the preservation of perforators to the flap is the key to success.
|Original language||English (US)|
|Number of pages||7|
|Journal||Plastic and Reconstructive Surgery|
|State||Published - Jan 2005|
ASJC Scopus subject areas