An experience with Gracilis free flap for soft tissue defect of distal tibia, Case Report

Sometimes, because of lack of proper coverage of distal fractured legs, these fractures cause loss of the skin and expose the distal Tibial bones on the medial sides. In such situations, there are two ways for the soft tissue reconstruction: 1. Cross leg flaps and 2. using free flap with microvascular anastomosis. In the present article a case of free Gracilis flap transfer for reconstruction of the soft tissue defect due to the use of heavy plate in distal Tibial fracture is reported. This procedure was performed for a 40 year old man with the soft tissue defect in distal of Tibia by a single team of surgery and after two months it proved successful. Reviewing the articles about free flap operation has proved its success in more than 90% of cases and, as a result, Gracilis free flap suggests an appropriate option for soft tissue reconstruction.