A new method of non-free plasty with axial medial flap 90 of the foot

The article describes of non-free plasty with axial medial flap of the foot on the lateral surface of its rear section to close large defects of soft tissues. The method was used in clinical practice in nine patients who had contraindications to the use of free composite grafts with the imposition of microvascular anastomoses (damage dorsal artery of the foot, post-thrombotic syndrome, stenosing atherosclerosis of lower limb arteries). The causes of soft tissue defects were direct traumas (2 cases) and complications after osteosynthesis (7 cases). The sizes of the flaps amounted to from 3.0х2.0 cm by 4.0х7.0 cm. In 7 cases the authors used the skin-fascial flap, in 2 patients the composite graft included also the fragment of the muscle belly abducting I toe. All autografts completely survived. In two cases the donor wounds healed by secondary intention, which did not affect the basic function of the operated limb. Functional and aesthetic results are fully satisfied patients.