Cronic osteomyelitis (CO) in lower legs involves
tibial-fibular bones and soft tissues around, with cronic ulcers
by necrosed bone exposure. CO treatment combines: antibiotics,
removes necrotic bone, bony stabilization and an adequate
soft tissue coverage. Soft tissue loss reconstruction in
the medium third of the legs can be made with fasciocutaneous
flaps, free flaps, cross leg flaps and local muscle flaps.
Elderly age is an important condition for the reconstruction
procedure indication. Soleus muscle flap has multiple advantages:
great blood supply, short surgical time, comfortable
postoperative and minimum functional sequels. Two cases:
Both elderly patients with osteocutaneous defects in tibia, by
CO. Treatment coverage was performed with soleus muscle
flap. Clinic course increased positively and the patients got
completely functional restitution.

Cronic osteomyelitis (CO) in lower legs involves
tibial-fibular bones and soft tissues around, with cronic ulcers
by necrosed bone exposure. CO treatment combines: antibiotics,
removes necrotic bone, bony stabilization and an adequate
soft tissue coverage. Soft tissue loss reconstruction in
the medium third of the legs can be made with fasciocutaneous
flaps, free flaps, cross leg flaps and local muscle flaps.
Elderly age is an important condition for the reconstruction
procedure indication. Soleus muscle flap has multiple advantages:
great blood supply, short surgical time, comfortable
postoperative and minimum functional sequels. Two cases:
Both elderly patients with osteocutaneous defects in tibia, by
CO. Treatment coverage was performed with soleus muscle
flap. Clinic course increased positively and the patients got
completely functional restitution.