Fasciocutaneous flap for coverage of tibia exposure. A case report

Background: Surgical wound dehiscence with exposure of internal fixation material is a serious entity, with a poor prognosis of infection. In most cases and in the absence of infection, the alternatives are to provide skin or muscle-cutaneous coverage to the osteosynthesis if the anatomical region allows it, or to remove the osteosynthesis to facilitate healing and skin grafting. The wounds in the leg represent a reconstructive challenge, especially the more distal they are located, because the skin is located there, with less elasticity and there is a decrease of subcutaneous and muscular tissue surrounding the bones, which causes most of the fractures to be exposed. It is often difficult to close the wounds directly, so it is necessary to use alternatives other than direct closure in order to repair the continuity solution in an adequate manner and provide proper skin coverage. Keywords: Flaps, leg reconstruction.