Technical refinement of the lateral supramalleolar flap

Area of Science:

• Plastic Surgery
• Anatomy
• Microsurgery

Background:

• The lateral supramalleolar flap is a reconstructive option for lower extremity defects.
• Its vascular supply originates from the peroneal artery's perforating branch.

Observation:

• Anatomical studies confirm a reliable subcutaneous vascular network.
• The flap can be designed proximally on the leg and raised on a fascio-subcutaneous pedicle.

Findings:

• This flap technique offers versatility for diverse skin defects in the foot, ankle, and lower leg.
• Refined surgical design enhances the flap's utility for distal coverage.

Implications:

• The lateral supramalleolar flap provides a dependable solution for complex lower extremity reconstructions.
• This technique expands reconstructive possibilities for plastic surgeons managing lower limb trauma.