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Updated: Dec 9, 2025

Engineered Vascularized Muscle Flap
Published on: January 11, 2016
Distally Based Medial Hemisoleus Muscle Flap for Wound Coverage in the Distal Third of the Leg
Ahmed Ashraf Fisal1, Mohamed Abdel-Hamid Romeih1, Lotfy Mohamed Younes1
1Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta University Hospital, AlGeish Street, Tanta 31511, Egypt.
Abstract:
Wound healing and coverage of soft tissue defects of distal tibia are challenging. Free tissue transfer is treatment of choice for distal tibial defects. However, resources for free tissue transfer are not readily available and they increase morbidity to host. Local and regional flaps play a key role in management of these defects with less demanding or specialized requirements. The soleus muscle flap is the workhorse flap for midtibia soft tissue defects and is used in reverse fashion to reach the distal third of the tibia. Despite minor complications, distally based medial hemisoleus flap is reliable in limb salvage cases.
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