Supra malleolar flap
Wounds on the heel and back of foot are specially troublesome. Reverse sural flap , free flaps are used to reconstruct it. Supra malleolar flap is a versatile flap to cover these injuries /defects. It is rapid reliable flap for covering medial and lateral arches and entire heel region. Anatomy Vascular supply is by the anastomotic arcade of the ankle. Perforator of peroneal artery anastomose with anterior malleolar artery arising from anterior tibial artery. They give perforator which supply overlying skin. Sinus tarsi is the pivot point of the distal based flap. original defect flap being raised flap insetted Dr Adhishwar Sharma MBBS,MS General Surgery, PGIMER Chd Mch Plastic Surgery Fellowship in hand and microvascular surgery 8860650846, adhishwar7@gmail.com