Versatile Use of the Local Muscle Flaps Pedicled by Gastrocnemius and Hemisoleus Muscle with a Longer Reach for Coverage of Lower Extremity Defects

Hyon Pak; Hwang-Ryong  Ri; Ryu-Gyong  Jong; Su-Yong  Ju; Chol-Bom  Kim; Song-Gun  Ri

doi:10.46966/msjar.v6i4.321

Versatile Use of the Local Muscle Flaps Pedicled by Gastrocnemius and Hemisoleus Muscle with a Longer Reach for Coverage of Lower Extremity Defects

Authors

Hyon Pak Department of Microsurgery and Plastic Surgery, Hyesan Medical College, Hyesan, Democratic People’s Republic of Korea.
Hwang-Ryong Ri Department of Microsurgery and Plastic Surgery, Hyesan Medical College, Hyesan, Democratic People’s Republic of Korea.
Ryu-Gyong Jong Department of Microsurgery and Plastic Surgery, Hyesan Medical College, Hyesan, Democratic People’s Republic of Korea.
Su-Yong Ju Department of Microsurgery and Plastic Surgery, Hyesan Medical College, Hyesan, Democratic People’s Republic of Korea.
Chol-Bom Kim Department of Orthopaedics Surgery, Samjiyon City Hospital, Samjiyon, Democratic People’s Republic of Korea.
Song-Gun Ri Department of Microsurgery and Plastic Surgery, Pyongyang University of Medical Sciences, Pyongyang, Democratic People’s Republic of Korea.

DOI:

https://doi.org/10.46966/msjar.v6i4.321

Keywords:

local muscle flap, gastrocnemius muscle, hemisoleus muscle, lower extremity defect

Abstract

Purpose: To report the usefulness of the multiple local muscle flaps pedicled by gastrocnemius and hemisoleus muscle for the treatment of the soft-tissue defects in the lower extremity, including the distal femur and more distal one third of the tibia without resorting to a free flap. Methods: From January 2014 to January 2023, the multiple local muscle flaps were designed to reconstruct the lower extremity in 13 patients. Results: All the patients had complete healing of their wounds with only minimal complications. Conclusions: The local muscle flaps pedicled by gastrocnemius and hemisoleus muscle are a useful alternative for coverage of lower extremity defects with a longer reach without resorting to a free flap.

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Published

2026-01-02

How to Cite

Pak, H., Ri, H.-R. ., Jong, R.-G. ., Ju, S.-Y. ., Kim, C.-B. ., & Ri, S.-G. . (2026). Versatile Use of the Local Muscle Flaps Pedicled by Gastrocnemius and Hemisoleus Muscle with a Longer Reach for Coverage of Lower Extremity Defects. Medical Science Journal for Advance Research, 6(4). https://doi.org/10.46966/msjar.v6i4.321

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Issue

Vol. 6 No. 4 (2025): December, Medical Science Journal for Advance Research

Section

Original Articles

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