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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 review our results from the surgical treatment of distal penile hypospadias, using the glans flap operation of Horton and Devine, in 62 consecutive cases. We recommend this operation, as it is our treatment of choice for this crippling congenital deformity.

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.