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Cirugía Plástica Ibero-Latinoamericana
On-line version ISSN 1989-2055Print version ISSN 0376-7892
Abstract
MANZANI-BALDI, J.R.; WOLFF, D.A. and SORIA, V.. Ankle's covarage with hemisoleous retrograde flow flap: beyond its classical indication. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.3, pp.261-267. ISSN 1989-2055. https://dx.doi.org/10.4321/S0376-78922013000300008.
We expose 5 clinical cases of open fracture of ankle with skin coverage loss and a review of soleous vascular anatomy. Based on anatomo-hemodynamics concepts we cover this defect with distally based hemisoleous muscle flap. The flap was performed beyond its classical indication in patients selected according to individual score. In all of the cases the viability of the flap was good, and the functional and anatomic results were satisfactory. The postoperatory recovery was in an average of 3weeks, obtaining a quicker recovery than expected with other methods.
Keywords : Ankle reconstruction; Muscular flap; Hemisoleus flap; Retrograde flap.