Outcome of proximally based medial hemisoleus muscle flap for coverage of soft tissue defects in leg

Objective: To review the use of proximally based medial hemisoleus muscle flap for exposed soft tissue defects in middle third leg. Methodology: The descriptive (retrospective) study was conducted in PakItalian Modern Burn Center, Multan from January 2014 to December 2018. Retrospective data was collected among patients where medial hemisoleus muscle flap was done. This series depicts the use of medial hemisoleus muscle flap in Patients having small to medium sized defects (ranged from 4-12 cm length and 2-8 cm width). The flap was done in most of the cases after 3 weeks. Patients having small to medium sized defects in middle third of tibia (Defect size ranged from 4-12 cm length and 2-8 cm width) were included in the study Variables of study were recipient-site issues, donor-site management, complications, and outcomes. Descriptive analysis was done. Results: Among 96 patients, 84 were males and 12 were females and their age ranged between 15-57 years. Out of 96 flaps 90 flaps survived completely, four had major flap loss and two flaps completely lost. Major complication was infections in flap followed by graft loss and haematoma. Conclusion: Proximally based medial hemisoleus muscle flap is a reliable flap easy to do and easy to follow.  &nbsp