Publication:

The lateral supramalleolar flap: a reliable option for lower leg and foot reconstruction

Background The lateral supramalleolar flap is based on a perforator of the peroneal artery, emanating at approximately 5 cm above the lateral malleolus on the anterior aspect of lower third leg.

Methods Our technique of harvesting the supramalleolar flap is by using a fasciocutaneous pedicle and minimal perforator dissection. We have done 45 cases in the last 7 years and have got favourable results with this technique.

Results We have not had a single case of total flap necrosis of a supramalleolar flap in our experience over the last 7 years. We routinely perform this flap when the reverse sural flap territory is not available.

Conclusions The lateral supramalleolar flap is a useful flap for coverage of lower third leg, ankle and dorsal foot defects. If raised as described, the reliability of this flap is increased.