Experience with the distally based posterior tibial island flap

A series of ten patients is presented to demonstrate the use of the distall y based posterior tibial island flap with or without a muscle component for reconstruction of the foot. Six patients had defects due to a road traffic accident, two had defects due to a work accident, one had extensive scar c ontractures after a deep burn and advanced Buerger's disease in another. Th ere was complete survival of all the flaps but one. Four flaps were fascioc utaneous and six myofasciocutaneous, including the medial hemisoleus muscle . This flap is very useful in lower extremity reconstruction, particularly in the lower third of the leg and foot due to its long vascular pedicle, av ailability of skin and muscle and ease of elevation. All the island flaps w ere based on the anastomosis between posterior tibial and peroneal arteries above the medial malleolus.