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Retalho hemissolear reverso na reconstrução de defeito do terço distal da perna

2011; Volume: 26; Issue: 4 Linguagem: Inglês

10.1590/s1983-51752011000400031

2177-1235

Marcus Vinicius Ponte de Souza Filho, Janete Clívea Eleutério de Oliveira Teixeira, Oscar Costa de Castro,

Knee injuries and reconstruction techniques

Reconstruction of the distal third of the leg represents a challenge for many plastic surgeons.Although microsurgical flaps have been the method of choice for this reconstruction, many hospitals do not have equipment or microsurgical staff trained for this type of procedure.Moreover, the patient's clinical condition does not allow a more complex surgery in some cases.This study reports two cases of reconstruction of the distal third of the leg with reverse flap of the soleus muscle, based on the perforators of the posterior tibial artery, as an alternative to microsurgical flaps.The reverse soleus flap had an excellent outcome with short surgical duration, easy implementation, excellent resolution, and low morbidity of the donor area.