The authors describe a technique of rotation of a leg flap which is divided into several phases : the flap is prepared and left in place, then two or three weeks later is applied to the area of loss of substance. Finally, the donor site is grafted. This unusual technique gives excellent results when used to cover loss of substance secondary to cutaneo-osseous sepsis of the leg. This was the case in 5 of our patients treated in this way.

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