Use of a subfascial pocket on the contralateral calf for salvage of an avulsed foot.

Cross-leg fasciocutaneous flaps have long been used for reconstruction of defects on the contralateral foot. This report describes the use of a cross-leg subfascial pocket for preservation of avulsed metacarpal and phalangeal bones and reconstruction of both plantar and dorsal aspects of the contralateral foot. The avulsed metacarpal bones and phalanges of the foot were embedded into a subfascial pocket prepared on the contralateral calf in the first operation. The gastrocnemius fasciocutaneous flap was then used for reconstruction of the contralateral foot. The avulsed structures were kept vital during the 20 days that elapsed between these two procedures.