Abstract
Summary The rhomboid flap method (RFM) is a new technique for primary skin closure utilizing a lateroposteromedial approach to cover skin and soft tissue defects which are the result of full correction of severe club foot deformity. The vertical incision of the lateroposteromedial approach declines laterally at approximately 30 degrees from midline which widens the rhomboid flap, thus preserving blood supply to the flap and preventing scar adhesions to the Achilles tendon. After full correction, the wound is covered by the stretched rhomboid flap. The RFM was used in 51 patients aged between 6 months and 8.5 years at the Al-Razi Orthopaedic Hospital, Kuwait. The follow-up was between 23 and 60 months. The RFM was used in 62 cases: 59 primary surgeries and three revisions of previous surgeries. Sufficient skin cover was achieved in all cases. In 59, healing was by primary intention and, in three, necroses smaller than 1 cm 2 developed. The RFM proved to be a beneficial method in the treatment of severe clubfoot in the age group concerned.
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