[Anatomo-clinical study of the inverted fascia-subcutaneous leg flap]

The authors report their experience in the use of the reversed fascio-subcutaneous flap of the leg in 11 cases for covering soft tissue defects of the distal third of the leg, the malloli and the posterior heel. An anatomical study has been performed on fifteen fresh cadavers (30 legs), in order to precise the indications and limits in the dissection of the flap pedicle. The authors report six necrosis (2 superficial, 4 total) of the distal part of the flap. Despite these complications, they consider that this flap is an interesting procedure due to its advantages: the respect to anatomical structures, an easy dissection, a supple pedicle and an aesthetic aspect of the donor area.