Surgical pearl: Linear closures on the anterior lower leg

Abstract

Closing defects on the lower leg after Mohs surgery have long posed a surgical challenge because of dynamic movement, increased tension, and poor skin laxity.1 When primary closure is not attainable, alternative closure methods include skin grafting, second-intention healing, flap repair, and suture retention device utilization.1,2 Although these methods have demonstrated efficacy in anterior lower leg defect repairs, they each have limitations, such as cost, a prolonged healing time, technical challenges, and an increased number of follow-up visits.