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Large defects of the lower leg and foot have been reconstructed using abdominal, cross-leg, and cross-foot skin flaps, as well as muscle, myocutaneous, and free vascularized flaps. We describe a technique of using an ipsilateral tensor fascia lata myocutaneous flap for reconstruction of total loss of the heel. Its advantages over other methods are outlined.

We report the use of a gracilis myocutaneous flap from the same thigh to repair a defect of the lower leg. This could be a useful alternative in well selected cases.