Resurfacing exposed bone of the lower leg using muscle flap transposition.

Although there are a variety of covering methods for skin defects accompanying exposed bone in the lower leg, in patients in whom closure with a local skin flap is not possible, I recommend the use of a muscle flap as the first choice. Muscle flap transfer has many advantages over other methods, and the result with this procedure is usually excellent. The grafting of mesh skin onto the transposed muscle is recommended. Good cosmetic results will be obtained by grafting the mesh skin without expanding it too much. The use of a myocutaneous flap for the lower leg is not recommended from a cosmetic point of view, and there are no particular advantages in the use of this method. The use of a muscle flap is adequate to achieve the intended curative result.