[Clinical uses of a reverse narrow pedicled fascio-vascular flap from the medial aspect of the leg].

The authors presented a new technique of using a narrow distally pedicled fascio-vascular flap from the medial aspect of the lower leg to cover soft tissue defects in the lower third of the leg, ankle and foot regions. 7 cases of traumatic scar have been treated with reversed narrow pedicled fascio-vascular flap since January 1987. The maximum covered area by the flap was 16cm x 15cm and the rotational angle ranged from 90 to 180 degrees. The flap survived in 6 cases resulting in satisfactory results. The only failure was a loss of 1cm over the tip of the flap because of the presence of a scar, left by a II degree burn, that ran across the flap. The advantages of this flap are as follows: the quality of the flap is good; there is a narrow fascio-vascular pedicle; this flap was easily rotated as an island flap; a high survival rate; simplicity of technique; no main artery is sacrificed, and the function of the leg is not affected. The authors believe this is an ideal method for resurfacing soft tissue defects in the lower third of the leg, ankle and foot regions with exposure of deeper structures.