A REVERSE TRIANGULAR SOLEUS FLAP BASED ON SMALL DISTAL COMMUNICATING ARTERIAL BRANCHES

We report a 25-year-old woman who suffered traumatic damage to the med ial malleolar area. Arteriography revealed a posterior tibial artery o cclusion at the ankle. The predominant pattern of medial soleus vascul arization was revealed during surgery. A reverse medial soleus flap in cluding the posterior tibial pedicle was elevated. The lateral soleus was gradually elevated with it to ensure a full soleus base of the fla p, resulting in a triangular shape. The flap survived completely. Both the triangular shape and the inclusion of the posterior tibial artery pedicle contributed the success of the flap by improving both the art erial supply and the venous drainage along the entire muscular flap.