Muscular Hemisoleus Flap for Reconstruction of Calf Middle Third Soft Tissue Defects and Exposed Tibial Bone Fracture in 8 Patients

Reconstruction of traumatic soft tissue defects at calf middle third after a trauma or open fracture is very important esthetically and psychologically for patients. There are few methods for this. One of them is hemisoleus flap. Cases: In this study 6 patients who experienced fractures after trauma, one case with chronic secretary osteomyelitis and one with exposed plate were reconstructed with hemisoleus flap technique. After surgery and follow up, flap cover was complete in 7 cases. In one patient (with exposed plate), one half of flap was necrotized, which in second stage was covered by gastrocnemius flap. Functions and wrist flexion were not decreased after surgery in 7 cases. One case had movement defect, but after 3 months it was disappeared. Design and application of muscular hemisoleus flap (medial belly) for this goal with preservation of muscle function for flexion, instead of scarification of total soleus muscle function is usefulness of this procedure.