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Revista Brasileira de Cirurgia Plástica
versión impresa ISSN 1983-5175
SOUZA FILHO, Marcus Vinicius Ponte de; TEIXEIRA, Janete Clívea Eleutério de Oliveira y CASTRO, Oscar Costa de. Reversed hemisoleus flap for wound coverage in the distal third of the leg. Rev. Bras. Cir. Plást. [online]. 2011, vol.26, n.4, pp. 710-713. ISSN 1983-5175. http://dx.doi.org/10.1590/S1983-51752011000400031.
Reconstruction of the distal third of the leg represents a challenge for many plastic surgeons. Although microsurgical flaps have been the method of choice for this reconstruction, many hospitals do not have equipment or microsurgical staff trained for this type of procedure. Moreover, the patient's clinical condition does not allow a more complex surgery in some cases. This study reports two cases of reconstruction of the distal third of the leg with reverse flap of the soleus muscle, based on the perforators of the posterior tibial artery, as an alternative to microsurgical flaps. The reverse soleus flap had an excellent outcome with short surgical duration, easy implementation, excellent resolution, and low morbidity of the donor area.
Palabras clave : Lower extremity; Soft tissue injuries; Surgical flaps; Muscle, skeletal.