Compound Fractures of Tibia - pedicled and free tissue transfer

Middle third of Tibia
Soleus + / - Flex.dig.longus muscle flap +skin graft
Fascio-cutaneous flaps
Free tissue transfer

Lower third of Tibia
Very large defects - Leg + foot
Lat. Dorsi + Serratus ant. Muscle flap + skin graft

Upper third of Tibia
Gastrocnemius muscle flap
Gastrocnemius myo-cutaneous flap

Bone loss less than 8 cm. - Iliac crest on D.C.I.A

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