title: [Application of cross-leg soleus muscle flap transplantation to treat the soft-tissue defect in contralateral leg].
abstract: OBJECTIVE
  To summarize the clinical application results of the repair soft tissue defect in contralateral leg with a cross-leg soleus muscle flap pedicle transplantation.
  
  
  METHODS
  From January 2008 to January 2013, 8 patients with soft-tissue defect in lower leg underwent reconstruction with a cross-leg soleus muscle flap pedicle transplantation (without microvascular anastomoses). There were 7 males and 1 female, aged from 20 to 49 years old with an average of 31.8 years. The operative time after injury was from 2 to 8 weeks with the mean of 46 days. The soleus muscle flap was transposed across to the contralateral leg defect area, then immediate to perform the coverage of the muscle flaps by a meshed split-thickness skin graft. The donor site was closed directly.
  
  
  RESULTS
  All the muscle flaps had survived completely. In one case, recipient area edge had a less exudate from drainage hole everyday, the incision spontaneously was healed after 2 week's changing dressing. Follow-up period ranged form 1.5 to 4 years with an average of 2.5 years postoperatively. The tibia and fibula fractures were healed well. A good contour was achieved at the recipient area. According to LEM standard, 2 cases got excellent results, 5 good and 1 fair.
  
  
  CONCLUSIONS
  Soleus flap pedicle transplantation is very suitable to repair the soft tissue defect of the injuried leg only one main blood vessel, and can reduce the damage of donor area.
authors.forename: Gong-lin
authors.initials: GL
authors.lastname: Zhang
authors.forename: Ping
authors.initials: P
authors.lastname: Zhen
authors.forename: Ke-ming
authors.initials: KM
authors.lastname: Chen
authors.forename: Lai-xu
authors.initials: LX
authors.lastname: Zhao
authors.forename: Jun-lin
authors.initials: JL
authors.lastname: Yang
authors.forename: Jian-hua
authors.initials: JH
authors.lastname: Zhou
authors.forename: Qin-yi
authors.initials: QY
authors.lastname: Xue
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps