caa a22 4500 463210522 CHVBK 20180405153139.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s00238-007-0134-x doi (NATIONALLICENCE)springer-10.1007/s00238-007-0134-x Pu Lee Division of Plastic Surgery, University of Kentucky, Kentucky Clinic, K454, 40536-0284, Lexington, KY, USA aut The laterally extended medial hemisoleus flap for reconstruction of a tibial wound in the distal third of the leg [Elektronische Daten] [Lee Pu] A soleus flap as a local reconstructive option for soft-tissue coverage of a tibial wound in the distal third of the leg has never been well recognized. In a 2-year period, seven patients underwent reconstruction of a less extensive tibial wound (4 × 3 to 10 × 4cm) in the distal third of the leg after orthopedic trauma with the laterally extended medial hemisoleus flap. The flap was elevated with emphasis on the preservation of the most distal perforators from the posterior tibial vessels to the flap as possible while allowing adequate rotation of the flap to cover the exposed tibia and/or hardware and on the possible preservation of foot planter flexion by reconstruction of the proximal Achilles' tendon. In this series, there was no total or partial flap loss. All patients healed their tibial wounds primarily with reliable soft-tissue coverage, evidenced fracture healing, and good cosmetic outcome during follow-up. Thus, the laterally extended medial hemisoleus flap described by the author can be a reliable option for soft-tissue coverage of a less extensive tibial wound in the distal third of the leg. It offers a more cost-effective approach for managing this unique problem and can be performed by most reconstructive surgeons without microsurgical expertise. Springer-Verlag, 2007 Reconstruction nationallicence Soleus nationallicence Muscle flap nationallicence Lower extremity nationallicence European Journal of Plastic Surgery Springer-Verlag 30/1(2007-06-01), 19-24 0930-343X 30:1<19 2007 30 238 https://doi.org/10.1007/s00238-007-0134-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-007-0134-x text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Pu Lee Division of Plastic Surgery, University of Kentucky, Kentucky Clinic, K454, 40536-0284, Lexington, KY, USA aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 30/1(2007-06-01), 19-24 0930-343X 30:1<19 2007 30 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer