Application of iliac-anterolateral-thigh-combined tissue flap on widespread leg cutaneous deficiency with calcaneous and achilles defect

Objective To investigate application and clinical result of iliac-anterolateral-thigh-com- bined tissue flap on oversize leg cutaneous deficiency with calcaneous and achilles defect.Methods Over- sized compound tissue flap was designed vascularized by deep circumflex lilac vessels and lateral circumflex femoral vessels and anastomosed with impaired proximal and distal end of posterior tibial vessels to repair vet- size leg cutaneous deficiency with caicaneous and achilles defect.Rusults All of the 16 free compound tis- sue flaps survived.Follow-up was obtained in 10 patients,ranging from 6 months to 24 months,averaging at 12 months.Legs and feet havd good appearance and protective sensation,and had no obviously walking dis- turbance through functional exercise.Conclusion It is feasible to repair widespread leg cutaneous deficien- cy with calcaneous and achilles defect with oversized compound tissue flap.This surgery have the advantage of compared small trauma,short operation time and safety.