Colgajo de So en reconstrucción de miembro inferior

Abstract

Lower limb treatment has always been a headache to the plastic surgeon. Tibial anatomy, doesn't has frontal muscle protection and it's vulnerable in any trauma. Every lesion in the lower limb must be treated by traumatologyst and plastic surgeon. In this study we present 3 patients with lower limb trauma, fractures and soft tissue lost, treated with muscle flap to cover affected parts. First, we took the flaps from soleous muscle, but we had problems with flap thickness and with the disgusting defect crated in the donor site. So we have created a variety: instead of taking half of the muscle, we took just a quarter, which survived with only one dominant vessel. The other quarter improved de defect in the donor site. The 3 patients were successful and they are happy with the results. We present an innovative surgical variant in muscle Soleous flap that can be useful in lower limb reconstruction, and that we have denominated So flap. © 2009 Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE).