Introduction: Several studies report good results of single perforator flap transfers for reconstruction of soft-tissue defects at the lower leg and the foot. The novel aspect of our study is application on combination of hinged perforator flaps transfers in high-risk patients with post-traumatic osteomyelitis. Materials and Methods: The study was conducted as a retrospective clinical trial fro...

Summary Background Despite continuous surgical advances, reconstruction of complex lower extremity wounds remains challenging. The indication local flaps or microsurgical free tissue transfer depends on the anatomical location and size defect, as well comorbidities general condition patient. In this study, flap distal defects was assessed, postoperative complications limb salvage were analyzed....

Provision of soft-tissue coverage for defects in the distal leg and foot is a challenge, especially in patients with multiple injuries and major soft-tissue defects. Major flap reconstruction requires expertise and the results are variable, with high morbidity. We report a case in which a reverse flow sural fasciocutaneous flap was used for treatment of an open fracture-dislocation of the right...

OBJECTIVE To describe the anatomical relationship of the sural sensory nerve complex to the posterior crural intermuscular septum (PS), the key anatomical structure for the osteoseptocutaneous fibula skin paddle. DESIGN Anatomical study. SUBJECTS Twenty-two legs from 11 cadavers (7 females and 4 males). RESULTS The lateral sural cutaneous (LSC) nerve, present in 20 of 22 legs, divides int...