Abstract

Leg ulcer is a common cause of morbidity and source of social and economic distress, especially among the young and middle aged people. It often results from or associated with venous insufficiency, for which a number of theories have been implicated. Limb elevation and compression bandaging have thus become cornerstones in the management of most leg ulcers. We report a case of a 50-year-old man with leg ulcer and a previous history of ipsilateral gastrocnemius flap. We propose the hypothesis of muscle pump failure as a cause of the leg ulcer.

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