Simultaneous soft tissue coverage of both medial and lateral ankle wounds: Sural and rotational flap coverage after revision fixation in an infected diabetic ankle fracture.
OBJECTIVE
To describe a case of simultaneous medial and lateral soft tissue coverage for exposed orthopaedic implants in the setting of revision fixation of a non-united ankle fracture. This was achieved using a sural flap as well as a propeller flap.


METHODS
Case report.


RESULTS
Both the sural and posterior tibial artery based rotational propeller flap healed without incident. The underlying fracture healed successfully and the patient returned to normal shoe wear.


CONCLUSIONS
The sural flap in conjunction with the posterior tibial artery based rotational flap is effective in providing simultaneous medial and lateral soft tissue coverage to the ankle.
Department of Orthopaedic Surgery, University of Arizona, Tucson, AZ 85719, USA.
Andrew P
AP
Schannen
Department of Surgery, Division of Vascular and Endovascular Surgery, University of Arizona, Tucson, AZ 85719, USA.
Kaoru
K
Goshima
Department of Orthopaedic Surgery, University of Arizona, Tucson, AZ 85719, USA.
Leonard Daniel
LD
Latt
Department of Orthopaedic Surgery, University of Arizona, Tucson, AZ 85719, USA.
Gregory L
GL
Desilva
Distal leg soft tissue coverage; Fasciocutaneous flap; Sural flap