Abstract

Managing, a distal leg defect is reconstructive challenge for any plastic surgeon. With the advent of microsurgery, the work hose flap for this area shifted from cross leg to free and local perforator flaps. Children with such defects pose a bigger problem because of smaller caliber of vessels, difficult immobilization and poor compliance. We, hereby, report a case of a 12 year old child who had an exposed distal half of calcaneum, which warranted a cross leg or free flap, but was managed successfully by distally based peroneus brevis muscle.

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