Treatment of soft-tissue defects in the foot and ankle is a challenge. The use of a retrograde lateral supramalleolar flap is a promising technique for reconstruction. This study aims to assess the efficacy and outcomes of the technique.  A prospective observational study was conducted from December 2017 to December 2022. Patients with soft-tissue defects in the foot and ankle underwent reconstruction using the retrograde lateral supramalleolar flap. Data on demographics, injury details, flap dimensions, complications, and outcomes were recorded and analyzed.  Forty-six flaps were used in the study. The average flap length was 17.47 cm. The maximum size of the flaps was 104 cm with an average of 48.43 cm . Venous congestion occurred in nine flaps, leading to partial necrosis in four cases. The overall success rate was 91.3%.  The retrograde lateral supramalleolar flap is effective in covering soft-tissue defects in the foot and ankle.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684909PMC
http://dx.doi.org/10.1055/s-0044-1788991DOI Listing

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