Management of Soft Tissue Complications Associated with Leg Bone Injuries by Local Muscle Pedicle Flap

Background: Subcutaneous nature of tibia and poor blood supply to leg bone area causes increased complications and poor wound healing which can be managed by applying principles of plastic surgery Aims & objectives: To evaluate the use of gastrocnemius, soleus and sural flap by orthoapedic surgeon in management of complications of open leg bone fractures i.e. exposed implants, soft tissue defects. Material & methods: We prospectively studied 20patients with soft tissue complications in patients having both bone leg fracture. Out of which12 patients were managed by gastrocnemius flap,5 patients by soleus flap & 3 patients were treated by sural flap according to the location of the wound. Patients with age between 18-60 years with no or minimal infection, size of wound <50cm2 for middle leg and