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Fisal AA, Abdel-Hamid Romeih M, Younes LM, El-Rosasy M, Rodriguez P, Liette MD, Masadeh S. Distally Based Medial Hemisoleus Muscle Flap for Wound Coverage in the Distal Third of the Leg. Clin Podiatr Med Surg 2020; 37:631-647. [PMID: 32919595 DOI: 10.1016/j.cpm.2020.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Wound healing and coverage of soft tissue defects of distal tibia are challenging. Free tissue transfer is treatment of choice for distal tibial defects. However, resources for free tissue transfer are not readily available and they increase morbidity to host. Local and regional flaps play a key role in management of these defects with less demanding or specialized requirements. The soleus muscle flap is the workhorse flap for midtibia soft tissue defects and is used in reverse fashion to reach the distal third of the tibia. Despite minor complications, distally based medial hemisoleus flap is reliable in limb salvage cases.
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Affiliation(s)
- Ahmed Ashraf Fisal
- Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta University Hospital, AlGeish Street, Tanta 31511, Egypt
| | - Mohamed Abdel-Hamid Romeih
- Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta University Hospital, AlGeish Street, Tanta 31511, Egypt
| | - Lotfy Mohamed Younes
- Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta University Hospital, AlGeish Street, Tanta 31511, Egypt
| | - Mahmoud El-Rosasy
- Limb Lengthening & Reconstruction and Pediatric Orthopedics, Department of Orthopedic Surgery, Tanta University Hospital, Faculty of Medicine, Tanta University, AlGeish Street, Tanta 31511, Egypt
| | - Pedro Rodriguez
- Plastic and Reconstructive Surgery, OSF Saint Anthony Medical Center, University of Illinois, 698 Featherstone Road, Rockford, IL 61107, USA
| | - Michael D Liette
- University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0513, Cincinnati, OH 45276, USA
| | - Suhail Masadeh
- University of Cincinnati Medical Center, Cincinnati Veteran Affairs Medical Center, 231 Albert Sabin Way, ML 0513, Cincinnati, OH 45276, USA.
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