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Multiple, synchronous ipsilateral soleus muscle flaps, including the Achilles' "wraparound" flap
1Division of Plastic Surgery, The Lehigh Valley Hospital, Allentown, PA, USA.
Annals of Plastic Surgery
|July 25, 1998
Summary
The soleus muscle offers versatile applications for leg wound coverage, including a novel "wraparound" flap for the Achilles tendon. This technique minimizes dissection and preserves donor site function for multiple local flaps.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Microsurgery
Background:
- The soleus muscle's reconstructive potential beyond its typical use is underappreciated.
- Its anatomical extent often reaches the calcaneus, offering versatile flap options.
Observation:
- The soleus muscle can be utilized as a local
Findings:
- A novel "wraparound" flap using the soleus muscle can cover the Achilles tendon without extensive dissection.
- Simultaneous, proximally based hemisoleus flaps can address mid-tibial defects.
- Multiple independent local flaps from a single soleus muscle can treat diverse leg wounds.
Implications:
- This technique simplifies Achilles tendon reconstruction, potentially avoiding free tissue transfer.
- It offers a versatile, local solution for complex lower leg defects.
- Minimizing donor site morbidity enhances patient outcomes in reconstructive surgery.