ABSTRACT
Burn injuries to the lower extremities are a major concern either as a result of a large total body surface area burn or as an isolated injury, especially to the foot. Lower extremity burns can result from a variety of agents occurring usually under accidental circumstances. Circumferential injuries resulting in edema in lower extremity burns can also lead to the development of a compartment syndrome. Burns of the weight-bearing surface of the foot may be deep enough to require resurfacing in spite of the limited exposure of the area, the protection provided by the thickened epithelium, and the use of footwear. Reconstruction for acute wound coverage may be indicated in deep partial, full thickness, and fourth degree burns in which exposure of underlying structures may present significant wound coverage problems. O. Heymans et al. reported the use of the medial adipofascial flap of the leg for the coverage of full thickness burns exposing the tibial crest.
