Reconstruction of Soft Tissue Defect on Distal Leg with Extensor Digitorum Brevis Myo-Cutaneous Flap.

Lee, Sang Yun; Chung, Ho Yun; Kim, Jong Yeop; Yang, Jung Duk; Park, Jae Woo; Cho, Byung Chae

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(4):474-479.
Published online July 1, 2006.

Reconstruction of Soft Tissue Defect on Distal Leg with Extensor Digitorum Brevis Myo-Cutaneous Flap.

Sang Yun Lee, Ho Yun Chung, Jong Yeop Kim, Jung Duk Yang, Jae Woo Park, Byung Chae Cho

Department of Plastic & Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea. hy-chung@mail.knu.ac.kr

Abstract

PURPOSE
To report of a series of successful reconstruction of soft tissue defect on distal leg with extensor digitorum brevis myo-cutaneous flap. METHODS: Between April 2002 to December 2004, 7 patients with soft tissue defect on distal leg were operated with Extensor Digiotorum Brevis myocutaneous flap. 6 of these patients had osteomyelitis.
RESULTS
Extensor Digiotorum Brevis myocutaneous flap were used in 6 patients and reverse flow flap was used in one patient. Average follow up was 19 months. All flap were survived 100% without any complication and osteomyelitis were controled in all cases. Aesthetic and functional out come were excellent on both recipient and donor sites.
CONCLUSION
The advantages of this flap are effectively control of local wound infection, constant and reliable anatomical structures, adequately thin flap. Technical easiness for raising flap and wide arch of rotation. Extensor Digitorum Brevis myo-cutaneous flap is one of ideal option for the reconstruction of distal leg and foot defects.

Keywords: Extensor digitorum brevis muscle; Osteomyelitis