Successful soft-tissue coverage of a tibial wound in the distal third of the leg with a medial hemisoleus muscle flap

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16 Citations (Scopus)

Abstract

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 languageEnglish (US)
Pages (from-to)245-251
Number of pages7
JournalPlastic and Reconstructive Surgery
Volume115
Issue number1
DOIs
StatePublished - Jan 2005
Externally publishedYes

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Leg
Muscles
Wounds and Injuries
Perforator Flap
Tibia
Cosmetics

ASJC Scopus subject areas

  • Surgery

Cite this

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abstract = "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.",
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AB - 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.

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