Extensor digitorum turn-down muscle flap.
When the extensor digitorum longus--a multisegmentally vascular-supplied muscle--is rotated distally, its origin can be used for covering defects in the lower one-third of the leg. We have used this technique successfully in four consecutive patients, and it has resulted in osteomyelitic cavity obliteration in three and a stable skin coverage in all four.
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D006801:Humans; D007866:Leg / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000601:surgery; D010019:Osteomyelitis / Q000601:surgery; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps