title: Split hemianterior tibialis turndown muscle flap for coverage of distal leg wounds with preservation of function.
abstract: OBJECTIVE
  A hemisplit turndown tibialis anterior muscle flap is described for coverage of distal leg wounds with preservation of active extensor function for open wounds of the distal ankle is presented. This is a new flap not previously described and is another local option for coverage of selected distal leg wounds.
  
  
  METHODS
  A description of the operative procedure and a clinical successful example is presented.
  
  
  RESULTS
  The split hemitibialis anterior turndown muscle flap was successful and preserved function of the muscle and tendon.
  
  
  CONCLUSIONS
  This is another option for coverage of difficult wounds of the lower extremity without sacrifice of function of the donor muscle.
authors.affiliation: General Surgery Resident, Mercy Catholic Medical Center, Philadelphia, Pa.
authors.forename: Vinay
authors.initials: V
authors.lastname: Gundlapalli
authors.affiliation: General Surgery Resident, Chistiana Hospital, Newark, Del.
authors.forename: John W
authors.initials: JW
authors.lastname: Gillespie
authors.affiliation: Chief of Plastic Surgery, Mercy Catholic Medical Center, Philadelphia, Pa.
authors.forename: Chris D
authors.initials: CD
authors.lastname: Tzarnas
keywords: lower extremity wound; muscle flap; split muscle; tibialis anterior muscle; tibialis anterior tendon
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