Mar 3, 2019 · The soleus flap is harvested as a muscle flap. It can include fascia overlying the muscle, tendons such as part of the Achilles tendon, bone by including the fibula based on branches from the peroneal artery which supply the fibula and lateral soleus muscle, and skin by including the lateral skin overlying the fibula.

Jun 13, 2016 · The primary indication for the use of the soleus muscle flap is coverage of soft tissue defects in the middle third of the leg. Distal third defects have historically been covered with a free flap; however for small defects and in patients with significant comorbid disease, which would prohibit prolonged anesthesia times, a reverse soleus ...

In this article, we examine contemporary considerations, developed by the authors, for the appropriate indications of free tissue transfer versus use of local flaps such as the soleus muscle flap.

We show that the medial hemisoleus muscle flap is a reliable local option, both by itself or in conjunction with other local flaps, to reconstruct less extensive wounds in the middle to distal third of the leg.

Although the classical local flaps such as gastrocnemius, soleus muscle flap, and the reverse sural flap have allowed to achieve those goals, perforator flaps are now added on to the armamentarium in lower extremity reconstruction using local flaps.

Oct 14, 2019 · Soleus is the standard muscle flap of choice for middle third defects of the leg. Numerous limitations with bulk, arc of rotation and weakening of plantar flexion when using the entire muscle. Medial hemisoleus muscle flap can be elevated based either proximally or distally depending on the location of the soft tissue reconstruction required.

Aug 29, 2021 · The soleus muscle can be used as a pedicled flap to reconstruct most middle lower leg defects and is the muscle flap of choice whenever possible. It lies on the superficial posterior compartment of the lower leg and can be used either proximally or …

Jun 4, 2024 · planning either a gastrocnemius or soleus muscle flap for coverage of a complex open wound. Radiographs should be viewed with particular attention paid to fracture location and the presence or absence of internal fixation devices. For acute fractures, if an external fixator is indicated, the surgeon should anticipate the need for subsequent

- soleus is a bipiniform (double feather) shaped muscle; - its width encompasses the posterior two thirds of the calf; - it originates from the upper one third of the dorsum & medial surface of the fibula and mid-posterior tibia;

The combined “gastrocnemius with soleus bi-muscle flap” has been introduced for large patella/infrapatella defects, and is based on the perforators of the distal half of the gastrocnemius muscle to the soleus muscle.