title: Reverse Medial Hemisoleus Flaps for Coverage of Distal Third Leg Wounds: A Technical Trick.
abstract: Traditionally, free tissue transfer has been used to cover wounds of the distal third of the leg. Advances in flap anatomy, elevation, and surgical techniques have allowed the use of pedicled flaps to avoid the use of free tissue transfer in certain situations. The authors describe a technique for using a reversed medial hemisoleus flap to provide soft tissue coverage for wounds of the medial distal leg. In the senior authors experience, the use of this flap has achieved wound coverage in 100% of patients with smaller wounds (≤50 cm) of the medial leg.
authors.affiliation: *Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN; †School of Medicine, Mayo Clinic, Rochester, MN; and ‡Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Houdek
authors.forename: Eric R
authors.initials: ER
authors.lastname: Wagner
authors.forename: Cody C
authors.initials: CC
authors.lastname: Wyles
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Sems
authors.forename: Steven L
authors.initials: SL
authors.lastname: Moran
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D058106:Wound Closure Techniques