[Covering of tissue defects of the lower extremities using free cutaneous or myocutaneous flaps and island flaps].

The problems of covering soft tissue defects associated with osteitis in the lower leg are discussed. Not only is absolute bone stabilisation necessary to restore such cases, but also good soft tissue cover. In the middle and distal part of the lower leg the free latissimus dorsi flap is ideal. For the sole of the foot and for the heel a sensible flap should be transferred. If the dorsalis pedis artery is present, shown by arteriogram, a dorsalis pedis island flap can be used. Otherwise a free neurovascular flap must be done, in which case the free forearm flap based on the radial artery is recommended. Some cases and problems are presented and discussed.