English

Abstract

Reconstruction of soft tissue defects of the lower third of the leg continues to challenge the plastic surgeons seeking a safe repair with minimal morbidity. Traumatic lesions involving the lower extremity have become a common occurrence and the ever increasing vehicular accidents in our crowded cities are their main cause. The goal in treatment of open tibial fractures and lower extremity is to provision of intact, supple skin cover and preserve a limb that will be more functional than an amputation. If the extremity cannot be salvaged, the goal is to maintain the maximum functional length. RESULT: Perforator based fasciocutaneous flaps and sural neurocutaneous flaps are the flaps of choice for reconstruction in this region. CONCLUSION: Ipsilateral fasciocutaneous flaps score over other flaps in being single staged, rapid and easy and they do not compromise the vascularity of the limb.