[Repair of skin and soft tissue defect around the malleolus by superior regressive island fasciocutaneous skin flap graft].
OBJECTIVE
To discuss the repairing procedure of skin and soft tissue defect around the malleolus, achilles tendon exposure, or calcaneus tendon exposure by superior regressive island fasciocutaneous skin flap graft.


METHODS
We used the superior regressive island fasciocutaneous skin flaps to repair 13 cases of skin and soft tissue defect or achilles tendon exposure around malleolus after trauma, scar ulcer, tumor, or other occasions. The maximal size of skin and soft tissue defect was 6 cm x 14 cm. The maximal size of calcaneus exposure was 5 cm x 10 cm.


RESULTS
Twelve cases obtained complete success with satisfactory results, and 1 case of necrosis delayed wound healing by latissimus dorsal myocutaneous flap graft. The follow-up lasted from 6 months to 4 years with satisfactory results.


CONCLUSIONS
The superior regressive island fasciocutaneous skin flap graft is an effective and convenient method to repair skin and soft tissue defect around the malleolus, achilles tendon exposure, or calcaneus tendon exposure.
Xiao
Mu-Zhang
MZ
Department of Plastics and Burn Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Long
Jian-Hong
JH
Huang
Xiao-Yuan
XY
D000293:Adolescent; D000328:Adult; D000842:Ankle / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin / Q000293:injuries; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D055815:Young Adult