The success of the long posterior flap in obtaining sound healing at below-knee level is widely recognised in patients with ischaemic disease, and since this method was introduced in 1967 by Burgess and Romano, the number of patients with healing below-knee amputations in ischaemic disease has dramatically increased, and with improved methods of level selection this proportion may increase furt...

Melanomas affect the foot and ankle region and are associated with a poor prognosis. The aim of the current study was to evaluate the functional and oncological outcomes of salvage surgery using cutaneous flaps for soft tissue reconstruction of the foot and ankle following the extended resection of a melanoma. A retrospective review was conducted to evaluate patients who presented with foot mel...

BACKGROUND Soft-tissue defects of the distal lower extremity and foot present significant challenges to the reconstructive surgeon. The reverse superficial sural artery flap (RSSAF) is a popular option for many of these difficult wounds. Our initial experience with this flap at multiple institutions resulted in a 50% failure rate, mostly because of critical venous congestion. To overcome this, ...

Coverage of soft tissue defects of the sole has been one of the major challenges of reconstructive surgery. The sole is a specialized structure, with thick skin and septae in the subcutaneous tissues which make it especially resistant to damage from shear forces and high pressures typical of the sole. Replacement by non-sole skin such as by dorsalis pedis, reverse sural and free flaps will be m...

Background: Successful management of extensive bony and soft tissue loss in the leg is challenging. The authors would like to describe a novel technique open bone transport used simultaneously with reverse-flow sural neurocutaneous flap achieve limb salvage. Method: A 40-year-old male patient had sustained Gustilo IIIC left proximal tibial fracture anterior following road traffic accident. Open...