Use of cross-leg flap for wound complications resulting from open pilon fracture.

Pilon fractures and associated soft-tissue complications present treatment challenges for orthopedic surgeons. Open fractures may require additional soft-tissue coverage. When local soft tissues do not allow for viable coverage, a cross-leg flap is available as a salvage procedure with successful outcomes. To our knowledge, there have been no previous reports of using cross-leg flaps for wound complications in high-energy pilon fractures.