AIM OF THE STUDY: The treatment of @entity6275 with @entity272 at the foot or the ankle is uneasy. In such cases, free @entity3986 are currently advised but they are less reliable in @entity1 with medical diseases. In such difficult cases we have used the distally based soleus island flap, vascularized with retrograde flow on the posterior tibial artery. The technique and the indications of this flap are discussed. @entity1 AND METHOD: This flap has been used for seven @entity1 with @entity79 and skin defects measuring an average of 10 x 7 cm. The preoperative arteriography had to find the whole three arteries at the leg, with a good distal anastomotic arcade. The soleus muscle was raised with the posterior tibial artery, after it was ligated proximally and dissected up to the tarsal tunnel. RESULTS: All of the seven flaps totally survived, except one that a marginal @entity39 treated by excision and iterative dissection of the pedicle for a more distal repositioning. No @entity922 was found on the legs. At the last review, all the @entity4034 were cured. DISCUSSION: The soleus island flap, distally vascularized on the posterior tibial artery, is a reliable flap, useful for the coverage of the distal leg, from the ankle to the very distal foot. Harvesting a major artery at the leg should be weighed against the failure of a free flap in high risk @entity1 .

[Coverage of XXXX of the ankle and the foot using a soleus muscle island flap, vascularized with retrograde flow on the posterior tibial artery. A seven cases report].

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity6275 :: ('MESH:C535456', 'Disease') :: ['chronic osteomyelitis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity3986 :: ('MESH:D009136', 'Disease') :: ['muscular flaps'] @entity4034 :: ('MESH:D010019', 'Disease') :: ['osteomyelitis'] @entity79 :: ('MESH:D001847', 'Disease') :: ['bone infection'] @entity272 :: ('MESH:D012871', 'Disease') :: ['large skin defects'] @entity922 :: ('MESH:D013568', 'Disease') :: ['clinical vascular deficiency']
@entity6275 :: (MESH:C535456,Disease) :: ['chronic osteomyelitis']
