title: [Repair of foot defect with a reverse fascial pedicled posterolateral lower leg flap].
abstract: OBJECTIVE
  To explore the applications of ipsilateral reverse fascial pedicled posterolateral lower leg flap in foot defect repair.
  
  
  METHODS
  A fasciocutaneous flap was designed over the gastrocnemius muscle to repair the defects in the foot or the lower third of the leg. The flap was based on a perforator branch between the lateral malleolus and the Achilles tendon, coming from the vessel network of the ankle as well as the deep fascia.
  
  
  RESULTS
  This method was used in 6 cases, including 2 children of 5-6 years old. All the flaps survived without necrosis and venous congestion.
  
  
  CONCLUSIONS
  The operation is simple and a large flap over the whole gastrocnemius muscle can be raised without sacrifice of a main blood vessel. It is an excellent method for repair of the defects in the heel, medial and lateral malleolus, dorsum pedis and the lower third of the leg.
authors.affiliation: Department of Plastic and Reconstructive Surgery, 9th People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.
authors.forename: Wei-gang
authors.initials: WG
authors.lastname: Cao
authors.forename: Sheng-li
authors.initials: SL
authors.lastname: Li
authors.forename: Shan-liang
authors.initials: SL
authors.lastname: Wang
authors.forename: Qun
authors.initials: Q
authors.lastname: Zhang
authors.forename: Chuan
authors.initials: C
authors.lastname: Yang
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005531:Foot Deformities, Acquired / Q000601:surgery*; D006801:Humans; D008297:Male; D016038:Skin Transplantation / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome