Flap choice in Reconstruction of soft tissue defects of the leg

Management of soft tissue defects of the lower limb remains difficult and the distal third of the leg is considered the most difficult area to reconstruct. The tibia is in subcutaneous position and therefore often exposed in case of leg injury. Moreover, the lack of both local skin laxity and muscular tissue in this area make reconstruction more difficult (Parrett et al,2006)Many types of flaps are available including local flaps and distant flaps. Local flaps include muscle, musculocutaneos and fasciocutaneous flaps (Heller and Leven , 2001).