Local muscle flap in a venous hypertensive environment

T. J. Francel, P. N. Manson, C. A. Vander Kolk

Research output: Contribution to journalArticle


Local rotation muscle flaps are useful for soft tissue reconstruction in open grade III fractures of the lower extremity. Gastrocnemius or soleus muscle flaps provide early bone coverage and avoid a more demanding free tissue transfer. Deep vein thrombosis is common in injured limbs and venous hypertension may result in acute muscle flap necrosis. Loss of bone coverage and an increased risk of osteomyelitis follow. We present a successful soleus rotation flap for tibial coverage in a lower extremity with a documented major venous thrombosis.

Original languageEnglish (US)
Pages (from-to)297-300
Number of pages4
JournalAnnals of plastic surgery
Issue number3
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Surgery

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