flaps, whether of the upper or lower extremity, have certain distinct advantages. These flaps are very simple to raise, quick to execute, and have a high reliability. On the basis of experimental studies, it is reasonable to accept that a fasciocutaneous flap
has a 15% to 20% increased survival over comparable cutaneous
The distal-based posterior tibial fasciocutaneous flap
was designed and successfully transferred clinically to cover lower leg and foot defects in four patients.
No complications, including distal ischemia
, and failure, in flaps were seen. Although donor site of fasciocutaneous
flaps is significant and can often be justified, it is not as significant as the donor area of the free flaps.
The versatility, advantages, and disadvantages of this new flap
in the reconstruction
of defects of the lower leg and foot are discussed.