A reverse triangular soleus flap based on small distal communicating arterial branches.

Abstract:

:We report a 25-year-old woman who suffered traumatic damage to the medial malleolar area. Arteriography revealed a posterior tibial artery occlusion at the ankle. The predominant pattern of medial soleus vascularization was revealed during surgery. A reverse medial soleus flap including the posterior tibial pedicle was elevated. The lateral soleus was gradually elevated with it to ensure a full soleus base of the flap, resulting in a triangular shape. The flap survived completely. Both the triangular shape and the inclusion of the posterior tibial artery pedicle contributed the success of the flap by improving both the arterial supply and the venous drainage along the entire muscular flap.

journal_name

Ann Plast Surg

authors

Dumont CE,Masquelet AC

doi

10.1097/00000637-199810000-00018

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

440-3

issue

4

eissn

0148-7043

issn

1536-3708

journal_volume

41

pub_type

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