Hemisoleus muscle flap for middle one third leg defect- An Institutional Experience

Abstract

Introduction: Road traffic accidents [RTA] are very common worldwide. In RTA lower limb trauma are very common. In emergency room compound fractures of leg are managed with slab, dressing, fluid resuscitation with assessment of distal vascularity.then finally skeletal stabilisation and soft tissue reconstruction. Purpose: The aim of this study to reconstruct the middle 1/3 leg defects with exposed bone , using hemisoleus muscle flap. Method: Twelve patients with defect in the middle 1/3 of leg are included in our study. We did hemisoleus muscle flap with split thickness skin grafting [STSG] in each patient. These procedures performed between Year 2014 to 2016 in national institute of medical science, Jaipur. India Result: All the patients having middle 1/3 leg defect because of trauma. We planned medial hemisoleus muscle flap to cover the exposed bone. No necrosis of any flap with complete taken up of STSG. All patient has gone for secondary orthopaedic procedure without any flap complications. Conclusion: Hemisoleus muscle flap is very authentic & reliable flap with rich vascularity to control the infection also in middle 1/3 leg defects.

Keywords: RTA,Necrosis