Abstract

Background Soft tissue reconstruction around ankle and distal third of the leg is challenging due to paucity of the skin around ankle and prominence of lateral and medial malleolus. Lower third of the leg and ankle defects are best reconstructed by a free flap particularly if the defect is larger in size. However small to medium size defects around ankle and distal third of leg, lateral malleolus, medial malleolus and tendoachilles areas can be managed by locoregional flap. Local flaps are also useful in situations where patient is unfit for prolong duration of surgery. With better understanding of vascular anatomy and pre operative localization of perforators many local flaps can be designed for such defects.

Description

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