The free scapular flap.

The scapular flap is described, based on the posterior cutaneous branch of the inferior scapular artery. This flap has been successfully used in four clinical cases. The advantages of this flap lie mostly in its large, long, and very dependable vascular pedicle. It can be taken with the patient on his side or prone. The skin is thin and does not need defatting. The main disadvantage is the scar, which is on the posterior aspect of the scapula. This flap is very useful in the treatment of small defects of the ankle or lower leg.