[Repair of foot defect with a reverse fascial pedicled posterolateral lower leg flap].
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.
Cao
Wei-gang
WG
Department of Plastic and Reconstructive Surgery, 9th People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.
Li
Sheng-li
SL
Wang
Shan-liang
SL
Zhang
Qun
Q
Yang
Chuan
C
Wang
Wei
W
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