The medial sural artery perforator pedicle propeller flap for lower middle-third anterior tibial soft tissue defect reconstruction: Case report and literature review

Abstract Lower extremity reconstruction still issues a challenge for plastic surgeons. The medial sural artery perforator (MSAP) flap has been reported for use to reconstruct the defects of the knee and proximal-third leg defects in many papers. But there is a few papers that described the technique of using this flap for reaching the middle third led defects. The authors report the first using MSAP propeller flap in Vietnam to cover the defect in a 45-year-old female patient who suffered from chronic ulcer with bone exposure over the middle third anterior tibial and evaluate the result of 4 months post-op. Keywords: Lower extremities defects reconstruction, perforator flap, medial sural artery perforator flap, propeller flap.